| NPI | 1184936015 |
|---|---|
| Former Name | KERRY ANN WIEGELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7754) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2024-04-05 |