| NPI | 1336725720 |
|---|---|
| Former Name | AUTUMN MARIE ERDMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31486) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 13129-121) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9823) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-05-08 |