| NPI | 1891192688 |
|---|---|
| Other Name | LINDA CLARK RIDENOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 76) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK OCC-05967) |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2015-01-20 |