| NPI | 1245968106 |
|---|---|
| Other Name | MARTHA L DOMINGUEZ, LCSW, LMFT. PLLC |
| Entity Type | Organization |
| Authorized Contact | MARTHA DOMINGUEZ Provider 915-772-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |