| NPI | 1326503152 |
|---|---|
| Former Name | RACHEL JESSICA SCOGGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 2408) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 412) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-04-13 |