| NPI | 1366032542 |
|---|---|
| Former Name | MEREDITH LYNNE RIDGELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002081) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121322) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2024-01-02 |