| NPI | 1316391600 |
|---|---|
| Professional Name | PEG KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401015337) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401015337) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-06-20 |