| NPI | 1962110577 |
|---|---|
| Former Name | JENNIFER MCCRAE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1937) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2026-07-14 |