| NPI | 1295807105 |
|---|---|
| Former Name | MARYKATE SMITH-EBERLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 9649381-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 1120) |
| 103T00000X Psychologist (Licence: NY 015157-0) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-07-21 |