Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor |
NPI | 1194150219 |
---|---|
Provider Name | Samantha Lee Ashford |
First Address | Alameda, CA 94501-5339 |
Second Address | San Francisco, CA 94103-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2013 |
Last Update Date | 23/01/2014 |