NPI | 1609417948 |
---|---|
Professional Name | STELLA YVETTE TILLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 39007BN) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2024-11-24 |