| NPI | 1104539675 |
|---|---|
| Former Name | ALEJANDRA TABOADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14036) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-02-27 |