
About
Who We Are
Altered Narrative Consulting is a boutique partner in transformation, helping organizations achieve measurable results while strengthening the leaders who sustain them.
We believe that real change begins when people feel seen, heard, and understood. That philosophy shapes everything we do — from enterprise transformation initiatives to one-on-one leadership coaching.

Why Altered Narrative
10+ years cross-industry experience in healthcare, life sciences, technology, and public sector.
Tailored solutions — never one-size-fits-all
Collaborative partnership — we co-create solutions that align with your vision and values.
Advanced change frameworks & techniques
Proven results translating strategy into execution with measurable ROI.
Certified Lean Six Sigma Black Belt expertise

Who We Work With
From ambitious startups to established enterprises, we partner with organizations of every size and stage.
We support professionals at every stage in their career. Whether you’re navigating a career pivot, stepping into leadership, or preparing for growth, our coaching and advisory services are designed to help you move forward with clarity, confidence, and purpose.
Our Approach
At Altered Narrative, we know that transformation is never just about systems — it’s about people. That’s why our approach blends proven methodologies with a human-centered lens to deliver results that last.

How We Work
Initial Consultation
We start with a focused conversation to understand your goals, challenges, and vision.
This session gives us a clear picture of where you are today and what you want to achieve.
Analysis & Strategy Development
Through diagnostics and conversations, we uncover strengths, gaps, and opportunities.
Together, we co-create tailored strategies rooted in proven methodologies and aligned to your culture.
Implementation & Support
We don’t hand over a plan and walk away. We provide tools, training, and facilitation to make change real on the ground — ensuring leaders and teams are equipped every step of the way.
Continuous Improvement
Change doesn’t end at launch. We track results, gather feedback, and adjust as needed to ensure lasting impact and measurable outcomes.

Meet the Founder
Ashleigh Monaco
Founder, Chief Creative Officer
Ashleigh Monaco is the Founder and Chief Creative Officer of Altered Narrative Consulting LLC. With more than a decade of experience leading enterprise-wide transformations, Ashleigh has guided organizations across the nonprofit, private, and public sectors—including healthcare, life sciences, technology, and manufacturing. She has partnered with leading organizations such as Deloitte Consulting LLP, the University of Pennsylvania Health System, Convatec, and CareCentrix to deliver people-centered change at scale. Recognized for her rare blend of strategic insight, analytical rigor, and human-centered leadership, Ashleigh brings a multidisciplinary background spanning change management, learning and development, talent acquisition, and organizational development. This breadth gives her a 360° view of how organizations attract, develop, and engage people—while building the structures and strategies needed to thrive in times of change. As a Lean Six Sigma Black Belt, Ashleigh applies proven methodologies to eliminate inefficiencies, reduce risk, and streamline processes—ensuring transformation initiatives deliver measurable and lasting results. At the heart of her philosophy is a simple truth: lasting transformation begins with a compelling narrative. By connecting the “what” to the “why,” she helps leaders inspire collective action, reduce resistance, and elevate the human experience of work. Through Altered Narrative, she partners with clients to uncover their authentic story and design strategies that create impact where it matters most—for both the business and the people who power it.



A simple yet profound truth: we are all human, having human experiences.
The universal need to feel seen, heard, and understood transcends cultural and individual differences, forming the foundation of meaningful connection and engagement.









