| NPI | 1184316366 |
|---|---|
| Former Name | PAMELA MCKEE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2306003) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 1225) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-07-27 |