Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1136 | HI |
NPI | 1093722399 |
---|---|
Provider Name | Rachel Kaya |
First Address | Wailuku, HI 96793-2416 |
Second Address | Wailuku, HI 96793-2416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 25/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2658 | LPC (01) | CO |