| NPI | 1255786133 |
|---|---|
| Other Name | LISA AMBROSINO HO |
| Entity Type | Organization |
| Authorized Contact | LISA AMBROSINO HO Organizer/Member 808-356-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-04-17 |