NPI | 1124043088 |
---|---|
Former Name | KAROLYN D. DILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1219) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1147) |
106H00000X Marriage & Family Therapist (Licence: OR T0395) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2015-03-25 |