| NPI | 1861164543 |
|---|---|
| Former Name | ASHLEY MARIE BANIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182264) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1777744) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-05-30 |