| NPI | 1053727172 |
|---|---|
| Former Name | NANCY M LEDESMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5959) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2016-04-06 |