NPI | 1114367943 |
---|---|
Former Name | ELEESA FLUCKIGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61173069) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61062591) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2021-10-13 |