| NPI | 1114293446 |
|---|---|
| Former Name | SANDRA LUCIA LEDEZMA CAMPODONICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL S453792856020) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |