| NPI | 1063817864 |
|---|---|
| Former Name | TAWNYA RENEE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-08-18 |