Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1574 | HI |
N | 103TC0700X | Clinical Psychologist | 1574 | HI |
Y | 103TR0400X | Rehabilitation Psychologist | 10094 | NE |
NPI | 1396173001 |
---|---|
Provider Name | Kristin Rajala |
First Address | Hilo, HI 96720-2020 |
Second Address | Hilo, HI 96720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2013 |
Last Update Date | 27/07/2016 |