NPI | 1851914105 |
---|---|
Former Name | MELANY W LANGHURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945736) |
Additional Taxonomies | 104100000X Social Worker (Licence: WV SW042015479) |
Enumeration Date | 2020-05-21 |
Last Update Date | 2023-11-01 |