| 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 |