| NPI | 1720359912 |
|---|---|
| Other Name | KAYLA MARIE WIEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1100574) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH ICDC.141029) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-11-30 |