Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1134350598 |
---|---|
Provider Name | Mrs. Laura Ann Gorr |
First Address | Indianapolis, IN 46241-5100 |
Second Address | Indianapolis, IN 46241-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 04/08/2009 |