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It seems better suited for a boy, but it works for either gender. I would use a very masculine or very feminine middle name to avoid confusion.

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River Alexandra
River Danae
River Sophia
River Cassandra
River Simone
River Samantha
River Gabrielle
River Abigail
River Katherine / Catherine / Katharine / Kathryn
River Kathleen
River Camille
River Anneliese / Annelise
River Noelle
River Noelia
River Athena
River Cassia
River Angeline
River Antonia
River Helena
River Michaela / Micaela
River Leila
River Laila
River Natalia / Natalya
River Nadia
River Natasha
River Bianca
River Caitlin
River Cailin
River Alicia

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River James
River Thomas
River Silas
River Daniel
River Jonathan
River Elias
River Elijah
River Isaac
River Maxwell
River Maximilian
River Scott
River Jonas
River Joshua
River Josiah
River Malcolm
River Lachlan
River Desmond
River Nathaniel / Nathanael
River Nathan
River Brendan
River Anthony
River Antony
River Jacob
River Joseph
River Dylan
River Caleb
River Sean
River Edwin
River Edmund
River Andrew