| NPI | 1033569413 |
|---|---|
| Former Name | MICHELLE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 6266) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-11-27 |