| NPI | 1649749979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LEIGH BALKUNAS Owner 860-484-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |