| NPI | 1558631788 |
|---|---|
| Former Name | ELIZABETH AILEEN EBERHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.002845) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |