| NPI | 1902137631 |
|---|---|
| Professional Name | GRACE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 4548) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2013-10-16 |