NPI | 1710466099 |
---|---|
Former Name | ALEXANDRA B GOULD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017018454) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017018454) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2021-08-27 |