| NPI | 1740572965 |
|---|---|
| Former Name | BRIDGETTE J MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31726) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2020-05-06 |