| NPI | 1437624400 |
|---|---|
| Other Name | RAFAEL REYNOSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7699) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-10-01 |