| NPI | 1750652897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA MIAN Psychiatrist 703-261-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101247130) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |