Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | HI 2012-02432 | HI |
NPI | 1043510191 |
---|---|
Provider Name | Diane K Guidici |
First Address | Kapaa, HI 96746-1369 |
Second Address | Kapaa, HI 96746-1369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2010 |
Last Update Date | 06/06/2014 |