| NPI | 1538672191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SHAVO Owner / Consultant 803-760-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 425) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |