| 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 |