| NPI | 1013420066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ELIZABETH BLAKE Owner 617-791-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4034) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |