| NPI | 1538952098 |
|---|---|
| Doing Business As | AUTONOMOUS MINDS THERAPY |
| Entity Type | Organization |
| Authorized Contact | STACIE LYNN FANELLI Owner 626-838-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |