| NPI | 1679979017 |
|---|---|
| Former Name | ALLISON MARY BALLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP0086497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 008647) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-04-28 |