| NPI | 1225318454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA SPINA Neuropsychologist 808-599-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: HI 1157) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI 1157) |
| 103TC0700X Psychologist, Clinical (Licence: HI 1157) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: HI 1157) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2014-04-05 |