# ELIZABETH DAKELMAN BALOG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750859062
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0062 | MD | — |
| 225X00000X | Occupational Therapist | 03037 | MD | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03037 | MD STATE BOARD OF OCCUPATIONAL THERY PRACTITIONERS | MD |