| Doctor Name: | MS. KRISTRINAH ELIZABETH AYALA |
| NPI Number: | 1073652350 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | LCO477 |
| Business Practice Address: | 3415 Metzerott Rd College Park, MD - 207404425 |
| Business Phone Number: | 3019355595 |
| Business Fax Number: | 3019355044 |
| Mailing Address: | 3415 Metzerott Rd, COLLEGE PARK |
| State: | MD |
| Postal Code: | 207404425 |
| Phone Number: | 3019355595 |
| Fax Number: | 3019355044 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCO477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |