NPI | 1104067974 |
---|---|
Former Name | TETYANA IVANIVNA BABYAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AK LPC#568) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK Certificate #3429) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2009-03-09 |