| NPI | 1770280190 |
|---|---|
| Former Name | LAURA OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39188) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006794) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2026-01-18 |