| NPI | 1407397995 |
|---|---|
| Former Name | STEPHANIE ERIN PATTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75569) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW75569) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-02-27 |