NPI | 1396272506 |
---|---|
Former Name | LENIRA IVANI DESOUSA OLIVEIRA BORGES MONTEIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2017-05-18 |
Last Update Date | 2018-05-22 |