| NPI | 1144523960 |
|---|---|
| Former Name | AMY LYNN HUSKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25397) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |