NPI | 1144362369 |
---|---|
Former Name | CHARLOTTE RUTH DORFSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006012) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000876) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |