| NPI | 1477170785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEE SEVERSON Owner 509-860-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |