| NPI | 1053013334 |
|---|---|
| Former Name | MCKAYLA SCROGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150114286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-10-02 |