| NPI | 1225584691 |
|---|---|
| Former Name | MARY LOUISE RAY-COUNCIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22802) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CSAC-2998) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |