| NPI | 1750807996 |
|---|---|
| Former Name | LINDSAY MISHELL BALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-17-361) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2022-07-21 |