| NPI | 1831884279 |
|---|---|
| Former Name | JENNY MARIE TANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5159) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-13 |