Nutritionists and Dietitians in Boone, NC

Photo of Sarah Helmick, Nutritionist/Dietitian, MS, RD, LDN
Sarah Helmick
Nutritionist/Dietitian, MS, RD, LDN
Boone, NC 28607
Waitlist for new clients
I enjoy working with a number of individuals including those who are looking to improve their relationship with food and their bodies, let go of beliefs about food that are preventing them from living a full life, and those who are struggling with chronic health concerns and wanting to learn more about nutrition habits that can be supportive to their well being.
I enjoy working with a number of individuals including those who are looking to improve their relationship with food and their bodies, let go of beliefs about food that are preventing them from living a full life, and those who are struggling with chronic health concerns and wanting to learn more about nutrition habits that can be supportive to their well being.
(828) 516-9602 View (828) 516-9602
Photo of Jenny Askew, Nutritionist/Dietitian, MS, RD, LD, CLT, ACSM EP
Jenny Askew
Nutritionist/Dietitian, MS, RD, LD, CLT, ACSM EP
2 Endorsed
Boone, NC 28607
Are you sick and tired of feeling sick and tired? If you're wondering if your health issues are related to what you're eating, you're in the right place! Digestive disorders such as IBS, IBD, celiac, and GERD are our specialties. If you're tired of being told "it's all in your head" and to "eat more fiber" we're here to offer a new approach.
Are you sick and tired of feeling sick and tired? If you're wondering if your health issues are related to what you're eating, you're in the right place! Digestive disorders such as IBS, IBD, celiac, and GERD are our specialties. If you're tired of being told "it's all in your head" and to "eat more fiber" we're here to offer a new approach.
(678) 582-1475 View (678) 582-1475
Photo of Michelle Rizzi Shelfer, Nutritionist/Dietitian, RD, LDN, CEDRD-S
Michelle Rizzi Shelfer
Nutritionist/Dietitian, RD, LDN, CEDRD-S
Boone, NC 28607
My goal is to meet people where they are, and aid them in building a sustainable relationship with food and movement. I educate on how improving their nutrition can improve their mental and emotional health along with their physical well-being. I focus on "Improvement, not perfection!" As a certified group fitness instructor for over 22 years, I am able to help clients design a movement plan that works for them. While using a H.A.E.S, and intuitive eating approach, they are able to enjoy the journey of improvibg their relationship with food and movement.
My goal is to meet people where they are, and aid them in building a sustainable relationship with food and movement. I educate on how improving their nutrition can improve their mental and emotional health along with their physical well-being. I focus on "Improvement, not perfection!" As a certified group fitness instructor for over 22 years, I am able to help clients design a movement plan that works for them. While using a H.A.E.S, and intuitive eating approach, they are able to enjoy the journey of improvibg their relationship with food and movement.
(828) 337-5148 View (828) 337-5148
Photo of Lauren Furgiuele, Nutritionist/Dietitian, MS, RDN, LDN
Lauren Furgiuele
Nutritionist/Dietitian, MS, RDN, LDN
Online Only
Hi! I’m Lauren, your period dietitian. I help women in their 20s through early 40s regulate their periods, ease frustrating PMS, and boost their energy and fertility, so they can feel more like themselves again. My clients are tired of extreme dieting, being told their labs are “normal” when they feel like trash, and that birth control is their only option to regulate hormones and manage symptoms until they want to get pregnant. I get it, which is why we do things a bit different around here.
Hi! I’m Lauren, your period dietitian. I help women in their 20s through early 40s regulate their periods, ease frustrating PMS, and boost their energy and fertility, so they can feel more like themselves again. My clients are tired of extreme dieting, being told their labs are “normal” when they feel like trash, and that birth control is their only option to regulate hormones and manage symptoms until they want to get pregnant. I get it, which is why we do things a bit different around here.
(828) 383-9686 View (828) 383-9686
Photo of Theresa Renee Saltsgaver, Nutritionist/Dietitian, MS, RDN, LDN
Theresa Renee Saltsgaver
Nutritionist/Dietitian, MS, RDN, LDN
Online Only
​​Are you struggling with your weight? Have you been diagnosed with prediabetes or gestational diabetes? Have you been diagnosed with high cholesterol or high blood pressure? ​ No matter what stage of life you are in, nutrition plays an important role in your health, and I am here to help. I am licensed in WV and NC and taking new clients via online Telehealth appointments.
​​Are you struggling with your weight? Have you been diagnosed with prediabetes or gestational diabetes? Have you been diagnosed with high cholesterol or high blood pressure? ​ No matter what stage of life you are in, nutrition plays an important role in your health, and I am here to help. I am licensed in WV and NC and taking new clients via online Telehealth appointments.
(919) 823-3077 View (919) 823-3077
Photo of Jordan DeBoard, Nutritionist/Dietitian, RDN, LDN, CEDS
Jordan DeBoard
Nutritionist/Dietitian, RDN, LDN, CEDS
Online Only
Hi, I’m Jordan! I’m a Certified Eating Disorder Specialist, and I work with adults (18+) in North Carolina who are ready to find healing and freedom with food and their bodies. While I specialize in eating disorder recovery, I also support people navigating PCOS and other hormonal concerns, diabetes, sports nutrition, and intuitive eating.
Hi, I’m Jordan! I’m a Certified Eating Disorder Specialist, and I work with adults (18+) in North Carolina who are ready to find healing and freedom with food and their bodies. While I specialize in eating disorder recovery, I also support people navigating PCOS and other hormonal concerns, diabetes, sports nutrition, and intuitive eating.
(828) 457-8851 View (828) 457-8851

Online Dietitians and Nutritionists

Photo of Patrick Zeoli, Nutritionist/Dietitian, MPH, RD, LDN
Patrick Zeoli
Nutritionist/Dietitian, MPH, RD, LDN
Charlotte, NC 28277
As a dietitian I am able to help people in a variety of ways. From sports performance, weight management, diabetes and disease management and other client needs I have been trained in a variety of areas to understand and apply science and research to develop the plan of action to help. Using evidenced based practices, I am able to create and execute a realistic and achievable plan for my clients.
As a dietitian I am able to help people in a variety of ways. From sports performance, weight management, diabetes and disease management and other client needs I have been trained in a variety of areas to understand and apply science and research to develop the plan of action to help. Using evidenced based practices, I am able to create and execute a realistic and achievable plan for my clients.
(704) 686-8547 View (704) 686-8547
Photo of Rhya Pachin, Nutritionist/Dietitian, MS, RDN, LDN, CLT
Rhya Pachin
Nutritionist/Dietitian, MS, RDN, LDN, CLT
Online Only
Looking for relief from chronic health conditions and a deeper level of nutritional support? Struggling to get answers? My focus is to identify and address the root cause of symptoms in order to help you achieve optimal health.
Looking for relief from chronic health conditions and a deeper level of nutritional support? Struggling to get answers? My focus is to identify and address the root cause of symptoms in order to help you achieve optimal health.
(704) 761-7796 View (704) 761-7796
Photo of Sara Geiger, Nutritionist/Dietitian, MS, RDN, LDN
Sara Geiger
Nutritionist/Dietitian, MS, RDN, LDN
1 Endorsed
Charlotte, NC 28210
Hello there! I’m a fiercely anti-diet Registered Dietitian Nutritionist (RDN) specializing in eating disorders. My journey as a dietitian began at the intersection of nutrition and psychology. I hold a Bachelor of Science in Nutrition Science and a Bachelor of Art in Psychology degrees from North Carolina State University and a Master of Science in Nutrition and Dietetic Practice from Thomas Jefferson University. My commitment to ongoing education and practicing with humility ensures that I provide evidence-based, personalized care to each of my clients. I have eating disorder experience at multiple levels of care.
Hello there! I’m a fiercely anti-diet Registered Dietitian Nutritionist (RDN) specializing in eating disorders. My journey as a dietitian began at the intersection of nutrition and psychology. I hold a Bachelor of Science in Nutrition Science and a Bachelor of Art in Psychology degrees from North Carolina State University and a Master of Science in Nutrition and Dietetic Practice from Thomas Jefferson University. My commitment to ongoing education and practicing with humility ensures that I provide evidence-based, personalized care to each of my clients. I have eating disorder experience at multiple levels of care.
(704) 285-2989 View (704) 285-2989
Photo of Rachel Murray, Nutritionist/Dietitian, MS, RDN, CSSD, CSCS, LD
Rachel Murray
Nutritionist/Dietitian, MS, RDN, CSSD, CSCS, LD
Charlotte, NC 28209
I help people build a healthier relationship with food while also meeting their real-life nutrition needs and goals. My approach is grounded in science, but always uniquely tailored to fit the needs of my clients - no one-size-fits-all solution. Sessions are collaborative and judgment-free, and I tailor strategies to your schedule, preferences, culture, and budget so they are realistic and sustainable. While I specialize in athletes and active individuals of all ages, my skills extend to serve a wide variety of nutrition needs. My goal is for you to leave our sessions feeling more confident, informed, and empowered.
I help people build a healthier relationship with food while also meeting their real-life nutrition needs and goals. My approach is grounded in science, but always uniquely tailored to fit the needs of my clients - no one-size-fits-all solution. Sessions are collaborative and judgment-free, and I tailor strategies to your schedule, preferences, culture, and budget so they are realistic and sustainable. While I specialize in athletes and active individuals of all ages, my skills extend to serve a wide variety of nutrition needs. My goal is for you to leave our sessions feeling more confident, informed, and empowered.
(980) 449-2310 View (980) 449-2310
Photo of Becca Fleming, Nutritionist/Dietitian, RD, LDN
Becca Fleming
Nutritionist/Dietitian, RD, LDN
Online Only
Hello! My name is Becca! I specialize in pediatric nutrition with a focus on eating disorders, picky eating, FTT, supporting neurodivergent children, and many more! My approach is warm, supportive, and rooted in evidence-based practices. I work closely with families to create personalized strategies that help kids feel safe around food, build confidence at mealtimes, and develop a healthy relationship with eating—without power struggles or shame. Whether your child is a selective eater, struggling with food anxiety, or just needs a little extra support, I’m here to help you navigate it with compassion and clarity.
Hello! My name is Becca! I specialize in pediatric nutrition with a focus on eating disorders, picky eating, FTT, supporting neurodivergent children, and many more! My approach is warm, supportive, and rooted in evidence-based practices. I work closely with families to create personalized strategies that help kids feel safe around food, build confidence at mealtimes, and develop a healthy relationship with eating—without power struggles or shame. Whether your child is a selective eater, struggling with food anxiety, or just needs a little extra support, I’m here to help you navigate it with compassion and clarity.
(828) 540-2636 View (828) 540-2636
Photo of Kasey Strouse, Nutritionist/Dietitian, RDN, LDN, CEDS-C
Kasey Strouse
Nutritionist/Dietitian, RDN, LDN, CEDS-C
Charlotte, NC 28203
Kasey Strouse (she/her) is a Registered Dietitian and Certified Eating Disorder Specialist. Kasey specializes in working with adolescents, college students, young adults, and families. She specializes in working with clients recovering from eating disorders, disordered eating, intuitive eating, family nutrition, and takes a non-diet approach with all clients.
Kasey Strouse (she/her) is a Registered Dietitian and Certified Eating Disorder Specialist. Kasey specializes in working with adolescents, college students, young adults, and families. She specializes in working with clients recovering from eating disorders, disordered eating, intuitive eating, family nutrition, and takes a non-diet approach with all clients.
(704) 659-6147 View (704) 659-6147
Photo of Samantha Berkowitz - Unmasked Nutrition, Nutritionist/Dietitian, MPH, RD, LDN
Unmasked Nutrition
Nutritionist/Dietitian, MPH, RD, LDN
Online Only
The Unmasked Nutrition team works with adolescents, teens, and adults who are neurodivergent and/or navigating an eating disorders through a non-diet and weight-inclusive approach. Navigating daily food choices can be exhausting due to decision fatigue and executive dysfunction. The constant need to decide what, when, and how to eat becomes quickly becomes an overwhelming task that leaves you feeling drained, frustrated, and likely late night eating.
The Unmasked Nutrition team works with adolescents, teens, and adults who are neurodivergent and/or navigating an eating disorders through a non-diet and weight-inclusive approach. Navigating daily food choices can be exhausting due to decision fatigue and executive dysfunction. The constant need to decide what, when, and how to eat becomes quickly becomes an overwhelming task that leaves you feeling drained, frustrated, and likely late night eating.
(828) 656-5497 View (828) 656-5497
Photo of Morgan Rossi, Nutritionist/Dietitian, MS, RD, LDN
Morgan Rossi
Nutritionist/Dietitian, MS, RD, LDN
Online Only
My ideal client is someone who is seeking support in building an intentional relationship with their body. I specialize in disordered eating dynamics that involve binge eating, fear of body changes, struggles with body image, and anxiety around food. I am additionally passionate about working with folks who experience sensory sensitivities, low appetite and/or trauma-associated food dysregulation. I create a space that celebrates queerness and those who identify as neurodivergent. My practice is fundamentally based in harm reduction, curiosity, and an individualized care approach.
My ideal client is someone who is seeking support in building an intentional relationship with their body. I specialize in disordered eating dynamics that involve binge eating, fear of body changes, struggles with body image, and anxiety around food. I am additionally passionate about working with folks who experience sensory sensitivities, low appetite and/or trauma-associated food dysregulation. I create a space that celebrates queerness and those who identify as neurodivergent. My practice is fundamentally based in harm reduction, curiosity, and an individualized care approach.
(828) 522-9371 View (828) 522-9371
Photo of Christine Corcoran, Nutritionist/Dietitian, MS, RD, LDN
Christine Corcoran
Nutritionist/Dietitian, MS, RD, LDN
1 Endorsed
Charlotte, NC 28203
We know change is not easy. We know finding food freedom can sound scary (maybe even impossible). It is our mission to guide you through uncharted territory and give you the knowledge and support you need to make real and lasting changes. Our approach to health and nutrition is weight-inclusive, and will always focus on finding peace and balance with food and exercise. We are continuously educating ourselves to provide a safe and welcoming space for all individuals. We work to analyze eating habits together and make changes based on where you are.
We know change is not easy. We know finding food freedom can sound scary (maybe even impossible). It is our mission to guide you through uncharted territory and give you the knowledge and support you need to make real and lasting changes. Our approach to health and nutrition is weight-inclusive, and will always focus on finding peace and balance with food and exercise. We are continuously educating ourselves to provide a safe and welcoming space for all individuals. We work to analyze eating habits together and make changes based on where you are.
(704) 753-8712 View (704) 753-8712
Photo of Growing Inward Nutrition Collective, Nutritionist/Dietitian, RD, LDN
Growing Inward Nutrition Collective
Nutritionist/Dietitian, RD, LDN
Asheville, NC 28803
Our hope is to accompany you on your journey of re-discovering the sacred connection to your body while healing your relationship with food. Everyone is born with intuitive wisdom to nourish and care for themselves, no matter how dormant it may feel. We use a non-diet approach to nutrition based on intuitive eating principles, weight-inclusive, and flexible thinking. We specialize in nutrition therapy for eating disorders, disordered eating, and chronic dieting. We are passionate about incorporating somatic modalities and integrating functional nutrition approaches and eco-therapy into nutrition counseling.
Our hope is to accompany you on your journey of re-discovering the sacred connection to your body while healing your relationship with food. Everyone is born with intuitive wisdom to nourish and care for themselves, no matter how dormant it may feel. We use a non-diet approach to nutrition based on intuitive eating principles, weight-inclusive, and flexible thinking. We specialize in nutrition therapy for eating disorders, disordered eating, and chronic dieting. We are passionate about incorporating somatic modalities and integrating functional nutrition approaches and eco-therapy into nutrition counseling.
(626) 605-1838 View (626) 605-1838
Photo of Emma A Johnson, Nutritionist/Dietitian, MS, LDN, RDN
Emma A Johnson
Nutritionist/Dietitian, MS, LDN, RDN
1 Endorsed
Online Only
Are you constantly struggling with your weight? Uncertain how to eat for YOUR body? Sick and tired of following "trendy" diets that get you nowhere? There is oftentimes a disconnect when it comes to living a healthy lifestyle; we know what’s good for our bodies, but we don’t always act accordingly. Emma Johnson, Nutritionist LLC aims to mend the gap between knowing and doing, by catering to each individual's unique circumstances.
Are you constantly struggling with your weight? Uncertain how to eat for YOUR body? Sick and tired of following "trendy" diets that get you nowhere? There is oftentimes a disconnect when it comes to living a healthy lifestyle; we know what’s good for our bodies, but we don’t always act accordingly. Emma Johnson, Nutritionist LLC aims to mend the gap between knowing and doing, by catering to each individual's unique circumstances.
(704) 285-2447 View (704) 285-2447
Photo of Gina Marie Gilchrist, Nutritionist/Dietitian, RD, LDN
Gina Marie Gilchrist
Nutritionist/Dietitian, RD, LDN
Charlotte, NC 28227
Gina Gilchrist is a Registered Dietitian with 24 years of experience in varied settings, including outpatient nutrition counseling, nutrition health coaching/private practice, research, and corporate health. Gina’s passion is counseling pediatric and adolescent patients and their families, however, she also enjoys and has experience working with adults and seniors. She loves to wear many hats and utilizes her creativity in the field as she has presented on various nutrition topics for colleagues, communities, and corporations. She enjoys writing and upheld a nutrition column in Silent Sports Magazine while residing in Chicago.
Gina Gilchrist is a Registered Dietitian with 24 years of experience in varied settings, including outpatient nutrition counseling, nutrition health coaching/private practice, research, and corporate health. Gina’s passion is counseling pediatric and adolescent patients and their families, however, she also enjoys and has experience working with adults and seniors. She loves to wear many hats and utilizes her creativity in the field as she has presented on various nutrition topics for colleagues, communities, and corporations. She enjoys writing and upheld a nutrition column in Silent Sports Magazine while residing in Chicago.
(704) 327-0257 View (704) 327-0257
Photo of Cheryl Buckley, Nutritionist/Dietitian, RDN, CDN, MBA , LDN, MS
Cheryl Buckley
Nutritionist/Dietitian, RDN, CDN, MBA , LDN, MS
Charlotte, NC 28210
I help individuals overcome dysfunction in their bodies from a holistic approach. I specifically target gut health, look at your lifestyle, nutrition, symptoms, and imbalances in your body, and create a personalized nutrition plan to help improve your overall well-being. Please visit my website for more information. Https://www.cherylbuckley.com
I help individuals overcome dysfunction in their bodies from a holistic approach. I specifically target gut health, look at your lifestyle, nutrition, symptoms, and imbalances in your body, and create a personalized nutrition plan to help improve your overall well-being. Please visit my website for more information. Https://www.cherylbuckley.com
(704) 665-0042 View (704) 665-0042
Photo of Maggie G Gartman, Nutritionist/Dietitian, MS, RDN, IFNCP
Maggie G Gartman
Nutritionist/Dietitian, MS, RDN, IFNCP
Online Only
Hello! I am an Integrative & Functional Registered Dietitian specializing in Gut, Inflammatory and Metabolic Conditions. I believe in the power of food as medicine and root-cause methodology to support my patients optimal health, to prevent and manage chronic diseases, and to promote wellness. My approach utilizes an expanded toolkit of evidence-based Integrative and Functional Nutrition practices and can be employed to support a wide range of conditions. I offer advanced functional nutrition testing for food sensitivities, micronutrient deficiencies and stool testing.
Hello! I am an Integrative & Functional Registered Dietitian specializing in Gut, Inflammatory and Metabolic Conditions. I believe in the power of food as medicine and root-cause methodology to support my patients optimal health, to prevent and manage chronic diseases, and to promote wellness. My approach utilizes an expanded toolkit of evidence-based Integrative and Functional Nutrition practices and can be employed to support a wide range of conditions. I offer advanced functional nutrition testing for food sensitivities, micronutrient deficiencies and stool testing.
(984) 230-9334 View (984) 230-9334
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in Boone?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. In such cases, a referral is typically made for those who have been formally diagnosed with a medical condition requiring nutrition counseling, such as diabetes or hypertension. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. However, insurance coverage can vary based on factors like your specific plan details, whether you choose an in-network or out-of-network provider, and whether you have a referral for nutrition services based on a medical diagnosis.

Coverage also depends on the type of nutrition service. Typically, insurance plans only cover services provided by a licensed Registered Dietitian (RD) and do not cover those offered by nutritionists or nutrition coaches without the RD credential. If nutrition services are not covered by your insurance, some dietitians and nutritionists may offer sliding scale rates or lower-cost services for clients who cannot afford their full fee. However, these spots are often limited and may not always be available.