Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003345182 |
---|---|
Provider Name | Ratina P Rich |
First Address | Topeka, KS 66606-1963 |
Second Address | Topeka, KS 66606-1963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2017 |
Last Update Date | 12/06/2017 |