| NPI | 1225472806 |
|---|---|
| Other Name | ALEXANDRIA MADELINE BOUCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 174400000X Specialist | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2021-03-19 |