| 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 |