NPI | 1255625141 |
---|---|
Former Name | SARAH K GROOMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900267-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.0900267) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-01-12 |