| NPI | 1699956078 |
|---|---|
| Former Name | TERRI LYNN SIEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14001) |
| 1041C0700X Social Worker, Clinical (Licence: MA 110416) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2022-06-08 |