| NPI | 1003092602 |
|---|---|
| Former Name | KRYSTAL GAIL SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY CSW6920) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2018-03-07 |