| NPI | 1619998010 | 
|---|---|
| Other Name | NANDO RAYNOLDS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C0943)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR C0943)  | 
| Enumeration Date | 2006-07-21 | 
| Last Update Date | 2012-05-31 |