| NPI | 1295085199 |
|---|---|
| Former Name | MICHELLE TAKASHIMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFT-625) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2019-11-04 |