| NPI | 1609570845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA AMAYA Nurse Practitioner 703-220-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-05-29 |