| NPI | 1316120801 |
|---|---|
| Former Name | SHANA K GORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008573A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 6709) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-04-13 |