| NPI | 1982693412 |
|---|---|
| Professional Name | SUE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 040240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R040240-1) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2025-07-22 |