| NPI | 1043325764 |
|---|---|
| Professional Name | AGNES ELIZABETH KOCH |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 47 823) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 522) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-11-17 |