| NPI | 1669616926 |
|---|---|
| Former Name | VANESSA AYE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa10066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz4683) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2019-12-09 |