| NPI | 1003250960 | 
|---|---|
| Other Name | KIM ANN MILES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60455301) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60091478) | 
| Enumeration Date | 2013-04-23 | 
| Last Update Date | 2021-03-01 |