Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0011506 | CO |
NPI | 1003168238 |
---|---|
Provider Name | Amy Sinjem |
First Address | Colorado Springs, CO 80921-4111 |
Second Address | Colorado Springs, CO 80918-3441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2012 |
Last Update Date | 26/11/2016 |