| NPI | 1093432585 |
|---|---|
| Former Name | RUSKEE PORTERFIELD |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW009291) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 009647) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-12-05 |