NPI | 1992350615 |
---|---|
Former Name | JOSHUA C KOCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC60962419) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60961518) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-08 |