NPI | 1770214520 |
---|---|
Former Name | LAUREN GOULD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 2102834) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014501) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2024-02-21 |