| NPI | 1235113267 |
|---|---|
| Former Name | LESLIE D LANGHOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.010039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149005930) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-10-05 |