| NPI | 1649015660 |
|---|---|
| Former Name | REATA GENE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 107788) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 28875) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-11-25 |