| NPI | 1386524304 |
|---|---|
| Other Name | ECHO SUNDSTROM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-81309) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-10-01 |