| NPI | 1376025031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA CORDEIRA Licensed Clinical Psychologist 808-721-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: HI PSY-1713) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |