| NPI | 1124463666 |
|---|---|
| Former Name | ELIZABETH SIEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016628) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-05-30 |