| NPI | 1477626299 |
|---|---|
| Former Name | AMY LYN TREVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0116921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0116921) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-03-14 |