| NPI | 1174178024 |
|---|---|
| Former Name | AMORE NICHOLE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-12-12 |