| NPI | 1821318171 |
|---|---|
| Former Name | MARY DIANNE PLUMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA PY60063635) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60063635) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-08-24 |