NPI | 1831435791 |
---|---|
Former Name | CHRISTINA LYNN RIDGLEY-SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4951) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: HI MHC-354) | |
101YP2500X Counselor, Professional (Licence: KY 277251) | |
Enumeration Date | 2012-12-21 |
Last Update Date | 2024-07-10 |