| NPI | 1003561093 |
|---|---|
| Former Name | ASHLEY GWEN GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5002) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 19647) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-01-05 |