| NPI | 1164821229 |
|---|---|
| Professional Name | ANGIE NICOLE REATHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 170357) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3029) |
| 103TC0700X Psychologist, Clinical (Licence: MT 1480) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-08-03 |