Joshua Koch is a marriageorrelationshipcounselor in Seattle. Operator refreshes the health score, market rank, and review feed continuously.
Operator computes a Health score continuously. It is the one number that tells you if this shop is winning, losing, or steady. Here is how Joshua Koch broke down on Apr 15, 2026.
Operator ranks every marriageorrelationshipcounselor in Seattle continuously using reviews, response rate, and local market share.
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