| NPI | 1164821229 | 
|---|---|
| Professional Name | ANGIE NICOLE REATHER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3029) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT 1480) | 
| 103TC0700X Psychologist, Clinical (Licence: AK 170357) | |
| Enumeration Date | 2014-08-14 | 
| Last Update Date | 2025-02-19 |