Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 4140432 777217 12335 | PA |
NPI | 1235546409 |
---|---|
Provider Name | Amy Nothwehr |
First Address | Wheat Ridge, CO 80033-6715 |
Second Address | Lakewood, CO 80215-3918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2014 |
Last Update Date | 18/07/2014 |