| NPI | 1184057358 |
|---|---|
| Former Name | MICHELLE O BAINBRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928451) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0021134) |
| 1041C0700X Social Worker, Clinical (Licence: OH I1500088) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2025-02-03 |