| NPI | 1013202415 |
|---|---|
| Former Name | ANITA J. HUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933413) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |