| NPI | 1932686680 |
|---|---|
| Doing Business As | RANA KAYE JACKSON |
| Entity Type | Organization |
| Authorized Contact | RANA KAYE JACKSON Lcsw 808-651-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009422) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-12-19 |