| NPI | 1639993066 |
|---|---|
| Former Name | MEAGAN E BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 13941) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 879) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |