| NPI | 1558783001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS M DOMINGUEZ Psychotherapist 305-772-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7555) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |