| NPI | 1730466160 |
|---|---|
| Former Name | KIERAN DIAN CATLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00494) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |