| NPI | 1497051148 | 
|---|---|
| Former Name | RENANA GUTMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60252020)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 101Y00000X Counselor (Licence: WA CG60252020)  | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60364110)  | |
| 101Y00000X Counselor (Licence: WA LH60364110)  | |
| Enumeration Date | 2011-01-27 | 
| Last Update Date | 2013-09-18 |