| NPI | 1083208029 |
|---|---|
| Former Name | CAROLINE GRACE SHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61250817) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8073) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61024206) | |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2025-07-24 |