| NPI | 1790993541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JANE INCE Clinical Psychologist 808-385-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 906) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-01-04 |