| NPI | 1851714760 |
|---|---|
| Former Name | LISA LYNN GUTTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 6950) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 190) |
| 101YP2500X Counselor, Professional (Licence: IL 180.008312) | |
| 101YP2500X Counselor, Professional (Licence: IL 178.003522) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |