| NPI | 1093230146 |
|---|---|
| Former Name | BLAKE SCOLLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 1803) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-09-18 |