NPI | 1952343378 |
---|---|
Former Name | LAURA BICKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007077L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007077L) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS007077L) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2016-07-14 |