| NPI | 1215029954 |
|---|---|
| Former Name | SARAH R BALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-05-02 |