| NPI | 1336508878 |
|---|---|
| Former Name | FAYONA DIANA JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1101015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1101015.SUPV) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 151229) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2021-10-29 |