NPI | 1447742366 |
---|---|
Former Name | LINDA LEE RIDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R6611) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2023-06-05 |