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 |