| NPI | 1477706901 |
|---|---|
| Former Name | LEAH BETH GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7467-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149005262) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |