NPI | 1578975769 |
---|---|
Former Name | KAREN CYNKAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149-018222) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014894) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2020-09-04 |