| NPI | 1336508878 |
|---|---|
| Former Name | FAYONA DIANA JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16767) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 151229) |
| 104100000X Social Worker (Licence: OH I.1101015) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I 1101015.SUPV) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-07-12 |