| NPI | 1528307212 |
|---|---|
| Other Name | ALISSA J PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-09-18 |