NPI | 1134542301 |
---|---|
Other Name | JULIA BONGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137527) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-01-24 |
Last Update Date | 2023-04-19 |