SAMANTHA DOMINGUEZ

SAN JOSE, CA
NPI1730826306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT120238)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
SAMANTHA DOMINGUEZ
1494 LAKESHORE CIR
SAN JOSE, CA 95131-3598
Phone number: 805-291-2355
Mailing Address
SAMANTHA DOMINGUEZ
PO BOX 612751
SAN JOSE, CA 95161-2751
Phone number: