NPI | 1649673377 |
---|---|
Former Name | CYNTHIA MARIE PIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-2091) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-0710) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2014-10-08 |