| NPI | 1790395176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MOHL Nurse Practitioner 703-463-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-04-20 |