| NPI | 1679041636 |
|---|---|
| Former Name | MELISSA MARIE AMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 41003) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |