NPI | 1871316547 |
---|---|
Other Name | J GOLD |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 13202) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306430) |
Enumeration Date | 2024-11-01 |
Last Update Date | 2024-11-01 |