| NPI | 1598300865 |
|---|---|
| Former Name | JULIA BERGMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14335961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60967203) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |