| NPI | 1205173606 |
|---|---|
| Former Name | MARYANNA RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC4518) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME XL4049) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2018-03-17 |