| NPI | 1316810377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINA OLUWO Authorized Official 301-526-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |