| NPI | 1881106763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI AU Owner 808-398-4398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1132) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: HI 1132) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI 1132) | |
| 103TC1900X Psychologist, Counseling (Licence: HI 1132) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI 1132) | |
| 103TS0200X Psychologist, School (Licence: HI 1132) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-11-09 |