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 |