| NPI | 1922303833 |
|---|---|
| Former Name | MALISSA KATHERINE COLLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 733) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |