| NPI | 1447616339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEE PICARD Owner 808-346-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60689616) |
| Additional Taxonomies | 251S00000X (Licence: HI 1409) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-09-26 |