| NPI | 1659741346 |
|---|---|
| Former Name | GEPERNARD TANIA POLIDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009991) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-01-05 |