Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0011792 | CO |
N | 103TC1900X | Counseling Psychologist |
NPI | 1104129147 |
---|---|
Provider Name | Sarah S Wolf |
First Address | Centennial, CO 80015-4102 |
Second Address | Greenwood Village, CO 80111-2744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2010 |
Last Update Date | 14/03/2016 |