| NPI | 1386330850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LUYBLI Practice Owner 484-519-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-02-12 |