| NPI | 1861386351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JENKINS Owner 385-501-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |