| NPI | 1447061445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SMILEY Owner/Principal Dietitian 803-707-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |