NPI | 1295041465 |
---|---|
Former Name | KRISTAL JEAN LUKACS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MA 118548) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2010-08-26 |
Last Update Date | 2020-06-28 |