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 |