| 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 |