| NPI | 1609333772 |
|---|---|
| Former Name | MICHELLE ERDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16165-132) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2025-11-25 |