NPI | 1366623811 |
---|---|
Other Name | ROSIE DOMINGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91222) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 22403) |
1041C0700X Social Worker, Clinical (Licence: CA 91222) | |
Enumeration Date | 2007-11-26 |
Last Update Date | 2022-01-05 |