NPI | 1962121772 |
---|---|
Doing Business As | LOUISA GOULD, LICSW |
Entity Type | Organization |
Authorized Contact | LOUISA GOULD Owner And Provider 774-255-0635 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |