Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1033468392 |
---|---|
Provider Name | Jessica H. Kojima |
First Address | Honolulu, HI 96826-3624 |
Second Address | Honolulu, HI 96826-3624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2012 |
Last Update Date | 02/09/2012 |