| NPI | 1609176650 |
|---|---|
| Former Name | MEGAN E KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14101) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-01-28 |