Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 0107156 | CO |
N | 101YS0200X | School Counselor |
NPI | 1225401557 |
---|---|
Provider Name | Kathleen Semansky |
First Address | Denver, CO 80218-1926 |
Second Address | Boulder, CO 80301-6169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2015 |
Last Update Date | 13/04/2017 |