NPI | 1639480999 |
---|---|
Former Name | APRIL LYNN STENDAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5257-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15599-132) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2024-12-23 |