NPI | 1396477675 |
---|---|
Former Name | ALEXANDRA RAE STREU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM 63729) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-06-27 |