Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003248592 |
---|---|
Provider Name | Ellen Yu Kinoshita |
First Address | Kapolei, HI 96709-1229 |
Second Address | Honolulu, HI 96813-4920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 26/04/2016 |