| 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 |