| NPI | 1710577762 |
|---|---|
| Former Name | DELBERT T TREVINO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171W00000X Contractor | |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-01-24 |