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 |