| NPI | 1184195166 |
|---|---|
| Former Name | ACQUISHA CHRYSTAL SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019341) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-09-16 |