Doesn't this mean 'She needs it'? And so wouldn't 'She needs him' be translated as 'Ella le necesita' ?
Question - I believe this could be translated as "She needs him/it/you". To clarify, you could add "...a él" or "...a usted" (correct me if I'm wrong). But is there a way to clarify that you refer to "it" without specifying what "it" is? (e.g. without saying "Ella lo necesita el coche")?