| 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 |