NPI | 1215108626 |
---|---|
Other Name | EDWARD VILLEGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 637555) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-03-13 |