| NPI | 1235382649 |
|---|---|
| Former Name | ROSA A. DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 2030420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117609) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-05-05 |