NPI | 1376325514 |
---|---|
Other Name | RONNIE JANE MCLAREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 4961) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 6885) |
Enumeration Date | 2023-10-20 |
Last Update Date | 2024-12-23 |