| NPI | 1558582676 |
|---|---|
| Former Name | EMILY LAUREN TILLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 102195) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: KY 1308) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-08-12 |