Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MFT INTERN 95895 | CA |
N | 174N00000X | Lactation Consultant | 11030216 | CA |
N | 176B00000X | Midwife | LM286 | CA |
NPI | 1235372723 |
---|---|
Provider Name | Brooke Lyman Casey |
First Address | Saint Helena, CA 94574-0224 |
Second Address | Napa, CA 94559-2920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 13/03/2019 |