| 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 |