| NPI | 1013444793 |
|---|---|
| Former Name | LORI LEE HUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 16119) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |