| NPI | 1740694140 |
|---|---|
| Former Name | SARAH JO GROHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 94866) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 72019) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-05-26 |