| Doctor Name: | MS. ROSA LATORRE-GROSS |
| NPI Number: | 1043594674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | P80503 |
| Business Practice Address: | 7409 37th Ave Suite 315 Jackson Heights, NY - 113726300 |
| Business Phone Number: | 7186721705 |
| Business Fax Number: | 7186722027 |
| Mailing Address: | 7409 37th Ave, Suite 315 JACKSON HEIGHTS |
| State: | NY |
| Postal Code: | 113726300 |
| Phone Number: | 7186721705 |
| Fax Number: | 7186722027 |
| NPI Enumeration Date: | 09/30/2011 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P80503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |