NPI | 1457409575 |
---|---|
Professional Name | RICK CHURCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401000376) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801058133) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2009-03-11 |