| NPI | 1104669621 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CATHERINE N PITTS Owner 254-709-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-18 |