Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1326364340 |
---|---|
Provider Name | Mrs. Daysi Lorena Brown |
First Address | Sacramento, CA 95823-2620 |
Second Address | Concord, CA 94520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 11/02/2019 |