| NPI | 1073387197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ASHLEY RAE Owner 253-254-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |