Meet the Dietitians



Nicole is the owner and founder of Pyramid Nutrition Services, Inc, started September, 2000.  After spending a little over a year working as a corporate Dietitian at the beginning of her career, traveling everywhere from New Jersey to California, spending most of her time away from her family, Nicole started looking for a better alternative.  Pyramid Nutrition Services has grown from a staff of one to a team of Dietitians that provide both individual nutrition counseling as well as consultant Dietitian services to long-term care, assisted living, and senior centers.

 Nicole enjoys being a Dietitian because she wants to help make a difference in the lives of people through health, wellness, and prevention.  She believes that every small change in behavior or habit makes a big difference in enhancing one's life. Her areas of interest and specialties are weight management, bariatric counseling, Diabetes, Celiac disease, kidney disease, IBS and cardiac disease. She is a FODMAP certified provider by Monash University as of 2019. 

Nicole received her Bachelor of Science in Biology and Chemistry with a Psychology minor from Western New England College, her Bachelor of Science in Nutrition and Dietetics from Life University graduating Magna Cum Laude and completed her dietetic internship at Southern Regional Medical Center in Riverdale, Georgia. 


Outside of the office, Nicole enjoys spending time with family and friends, travel, biking, and baseball!



Karoline is passionate about nutrition and wellness and is driven to make an impact in the lives of her clients. Her passion motivates clients to make sustainable and healthy lifestyle changes. People find she is easy to talk to her and she listens with compassion. Karoline is an advocate for real food, and strongly believes in the healing power of food.

Karoline earned her Bachelor of Science degree in Food and Nutrition from Framingham State University. She completed her dietetic internship through Priority Nutrition Care. She has worked and interned in a variety of settings giving her diverse background of experiences including outpatient nutrition counseling for cardiac, diabetes, and GI patients at the UMass Center for Applied Nutrition. She worked with families at USDA’s Women Infants and Children (WIC) nutrition program and Head Start and with Veteran’s at the Chelsea Soldiers’ Home.

She has a special passion for helping clients with GI issues. Karoline is also a certified 200 hour Yoga Teacher, which combines her love for the mindful practice with her desire to improve the physical and emotional health of others. In her spare time, Karoline enjoys spending time cooking, hiking, practicing yoga, and spending time with her two pet goats!


Sandy Lemanski, RDN, LDN, CDE

Sandy Lemanski, RDN, LDN, CDE- Sandy manages the East Longmeadow office for Nancy Dell and Associates. She believes healthy eating should be easy and delicious. Sandy always says “I love my job” to which her patients reply, “and we love you”. She is our “researcher” because she is always on the lookout for new nutrition information, ideas, products and recipes for her clients.

Sandy graduated from Framingham State College with a Bachelor's degree in Nutrition. As a Certified Insulin Pump Trainer for Medtronic, she has special expertise for diabetic patients. Before coming to Nancy Dell & Associates, Sandy worked as a Clinical Nutritionist for Duke University Medical Center in North Carolina and St Vincent Medical Center in Worcester, Massachusetts. In addition she provided nutrition education for participates in the Women’s Health Initiative Intervention Study. You will often see the results of this study quoted on the news.

Sandy enjoys running, hiking and traveling.


Andrea Reyes, RDN, LDN

Andrea has a wonderful relationships with her patients. Her faithful following is always growing as they tell their friends and family members, “Go see Andrea. She helped me and can help you too!" She already counsels entire families. Prior to working for Nancy Dell & Associates, Andrea gained expertise as a nutrition counselor with people of all ages. She worked with children from birth to 3 years old as a nutritionist for Easter Seals. As a Program Coordinator for WIC, Andrea provided nutrition education for women, infants, and children in Spanish and English. She has worked with adults and seniors in hospitals, nursing homes and rehabilitation centers.


Andrea earned her Bachelor's degree in Nutrition Management at Rochester Institute of Technology in New York and completed her internship at Syracuse University. She has received additional training in diabetes, lactation counseling, pediatric nutrition, eating disorders and autism.


Katie Defoe-Raymond, MS, RDN, LDN

Katie's love for the science of nutrition and passion for helping clients makes her an exceptional dietitian. Her motivating approach facilitates clients to make changes that fit their lifestyle, enjoy food through mindful eating, and improve their health profile. She encourages clients to express themselves, listens to what they have to say, and works with them to meet their needs. She has developed exceptional skills working with all ages and diverse diagnoses through a variety of work and volunteer experiences.

Katie's teaching experience began when she volunteered with the UMass Extension Nutrition Program's summer youth program. She then became an Instructor of Nutrition at Springfield Technical Community College. She gained valuable experience with a diverse population while working with women, infants, and children as a WIC nutritionist and as part of the Massachusetts WIC TOTE group, a task force to develop education materials targeted to reducing overweight/obesity in the WIC population. Katie later became The Food Bank of Western Massachusetts' Nutrition Coordinator where she developed nutrition programs, taught workshops, created nutrition-related educational materials, and helped to develop and implement the Intergenerational Community Meals program. For the past several years she has worked providing nutrition counseling to elders in their homes as a nutrition consultant for WestMass ElderCare, while also gaining clinical and counseling experience as an inpatient clinical dietitian at Day Kimball Hospital in Connecticut.


Jennifer Fournier, RDN, LDN

Since landing at UMass, Jen has studied:

  • Mindfulness thru the Center for Mindfulness

  • Spiritual psychology rooted in psychosynthesis

  • Become a Journey Dance Teacher

  • Is a Certified Wellness Coach

Jen has been bit by the study of the brain for the last 5 years looking at the brain's plasticity, behavioral and positive psychology in an effort to rewire the brain to support healthy behaviors. She has apprenticed at the CFM in Mindful Eating & is a group facilitator.

Her career path before UMass has some twists and turns. She gained medical knowledge while being a pharmacy technician for 9 years starting in high school. After getting her first bachelor’s degree in psychology she and a small staff turned a bankrupt wholesale bread company into an award-winning enterprise. Moving back to New England to be closer to family, she managed a Central Production Kitchen for Dunkin Donuts on the Cape. This final experience is what drove her to dietetics. And a second degree in human nutrition.

Bringing all of this together with her passion for life, food and people she is an alchemist that entertains and brings out the best in that which she loves the most. Fellow travelers on the road to health of mind and body.



Ashley has a background in both psychology and nutrition, and has a strong interest in how food and nutrition can interact with both our emotional and physical wellbeing. Recognizing that there is no “one size fits all” method for helping people reach their goals, she is passionate about collaborating with clients to work towards sustainable changes that fit their lifestyle in a way that works best for them.

Ashley previously worked as a clinical dietitian in long-term acute care, gaining experience with weight management, cardiac disease, diabetes, chronic kidney disease and GI issues. Ashley received a Bachelor of Arts in Psychology from the University of Massachusetts Amherst, and completed a post-Baccalaureate program in Nutrition, Accredited Dietetic Internship and Master of Science in Applied Nutrition through the Sage Graduate School of Health Sciences in Troy, NY. Her training includes additional experience with bariatric counseling, the psychology of food and eating disorders, and home visits and group education with the Albany County Department for Aging.

In her free time, Ashley enjoys reading, hiking, kayaking, and spending time with friends and family and her three dogs.