| NPI | 1083976591 |
|---|---|
| Former Name | KELLY PAIGE SIEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05670100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015787) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-03-14 |