| NPI | 1477936425 |
|---|---|
| Former Name | LINDA M KICSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13683) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW13683) |
| 1041C0700X Social Worker, Clinical (Licence: NY R078023-01) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-07-20 |