Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6401009451 | MI |
N | 101YS0200X | School Counselor | PF0004325 | MI |
NPI | 1184987646 |
---|---|
Provider Name | Mrs. Pamela Anne Robinson |
First Address | Battle Creek, MI 49017-4748 |
Second Address | Battle Creek, MI 49017-4748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 20/06/2012 |