NPI | 1952662504 |
---|---|
Former Name | JILL ELIZABETH CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17413) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2021-06-28 |