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 |