| NPI | 1891494373 |
|---|---|
| Professional Name | STACY LEDESMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00324-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07225-S) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |