| NPI | 1720855513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEGAN BISSELL Founder 802-376-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-01-04 |