| NPI | 1841054186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN I MIRKIN President 443-326-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-09 |