| NPI | 1871001636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY TAKASAWA Clinical Psychologist 808-538-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1215) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: HI PSY-1215) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |