| NPI | 1003575374 |
|---|---|
| Former Name | ASHLEIGH LASWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-04-26 |