NPI | 1457724031 |
---|---|
Former Legal Business Name | TRACY M.T. WATANABE, PSY.D.,LLC |
Entity Type | Organization |
Authorized Contact | TRACY M.T. YAMASAKI Clinical Psychologist 808-227-7682 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1320) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2022-12-01 |