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 |