NPI | 1194063248 |
---|---|
Former Name | ELIZABETH J COMOGLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021040130) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39003601A) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2024-06-17 |