| NPI | 1215164207 |
|---|---|
| Former Name | TRACY ANNE BALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2010007402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 001872) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2013-12-12 |