| NPI | 1487192001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DORAN Owner Member 808-352-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-762) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |