| NPI | 1326559618 |
|---|---|
| Former Name | ANNA RAY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-1082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 25782) |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-25782) | |
| 101YP2500X Counselor, Professional (Licence: MO 2019031590) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2025-02-07 |