| NPI | 1124615968 |
|---|---|
| Doing Business As | WWW.MINDSPACETHERAPY.COM |
| Entity Type | Organization |
| Authorized Contact | NALINI CHANNAPATNA PRASANNA Member 775-379-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |