| NPI | 1013436880 |
|---|---|
| Former Name | ELLEEANNA SHENIKA LAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS M10993) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2026-04-17 |