Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003303520 |
---|---|
Provider Name | Ashley K Rayford |
First Address | Los Angeles, CA 90017-5686 |
Second Address | Los Angeles, CA 90017-5686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2018 |
Last Update Date | 19/04/2018 |