| NPI | 1801150560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE BAUTISTA-TORRES Owner 808-646-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1183) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |