NPI | 1326460650 |
---|---|
Former Name | ALYSIA ANN HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5308) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004920) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2023-03-01 |