| NPI | 1700108917 |
|---|---|
| Former Name | ELLENE CORACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011779) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401011779) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2014-01-02 |