| NPI | 1700247681 |
|---|---|
| Former Name | DANETTE CAVENDER OR CREAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30667) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC 60610560) |
| 103TC1900X Psychologist, Counseling (Licence: WA LH60805877) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-12-01 |