| NPI | 1548995764 |
|---|---|
| Former Name | CRYSTAL AMBER TULIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61629844) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-05-11 |