| NPI | 1407414899 |
|---|---|
| Former Name | DANIELLE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170539) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-11-28 |