Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY-1092 | HI |
N | 103T00000X | Psychologist | PSY-1092 | HI |
Y | 103G00000X | Clinical Psychologist | PSY-1092 | HI |
Y | 103TC0700X | Clinical Psychologist | PSY-1092 | HI |
NPI | 1003147547 |
---|---|
Provider Name | Dr. Gina Lyn Cheryl Aya Camara |
First Address | Kailua, HI 96734 |
Second Address | Honolulu, HI 96813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2010 |
Last Update Date | 22/01/2010 |