| NPI | 1487969036 |
|---|---|
| Former Name | PATSY BERNICE TREVINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10403) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1453) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-11-15 |