| NPI | 1780258251 |
|---|---|
| Other Name | BROOKE JACOBSEN |
| Entity Type | Organization |
| Authorized Contact | BROOKE KEMSLEY JACOBSEN Owner 808-330-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |