| 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 |