| NPI | 1861720872 |
|---|---|
| Former Name | TINA M DILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33006111A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor (Licence: IN 33006111A) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2012-04-06 |