| NPI | 1578904595 |
|---|---|
| Former Name | CAROLYN ANN THORWARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS-005469-L) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |