| NPI | 1972069201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SEPULVEDA Owner 301-494-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-10-14 |