Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YS0200X | School Counselor |
NPI | 1073676193 |
---|---|
Provider Name | Tamala Robinson |
First Address | Spartanburg, SC 29304-0970 |
Second Address | Spartanburg, SC 29303-2964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 07/01/2013 |