| NPI | 1548043425 |
|---|---|
| Former Name | CRYSTAL DAWN VASSEF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61499538) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 67840) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-04-04 |