| NPI | 1619765724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PATRICK OSBORN Owner 832-515-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |