| NPI | 1356199822 |
|---|---|
| Former Name | AMBER NICOLE BALCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |