| NPI | 1255405981 |
|---|---|
| Professional Name | MOKI ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 0152) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |