| NPI | 1942031588 |
|---|---|
| Former Name | MATTHEW EBERHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: UT 13398606-3102) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |