| NPI | 1497334247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY NOEL HOWARD Owner / Dietitian 405-630-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-01-11 |