NPI | 1265650147 |
---|---|
Former Name | CYNTHIA M LOPERCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15836) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-12413) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2021-08-19 |