| NPI | 1740795277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ELIZABETH MONTGOMERY Licensed Psychologist 808-492-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: HI PSY1467) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |