NPI | 1902378391 |
---|---|
Former Name | AMY NORDQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015120) |
Additional Taxonomies | 221700000X Art Therapist |
Enumeration Date | 2018-12-22 |
Last Update Date | 2018-12-22 |