| NPI | 1205482791 |
|---|---|
| Former Name | BERTHA ELAINE FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC015313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20559) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2025-12-24 |