This is fitcardiogirl's TrustRating, which is based on both the number of reviews fitcardiogirl has written, and how many other people have voted those reviews as "helpful." It's a way to quickly to determine the value of any single review or reviewer, because it's based on how helpful fitcardiogirl has been to the Kudzu community.
Dianna is just lovely. She is a kind, supportive, open-minded person that genuinely cares about her patients. I would call a couple weeks in advance to schedule though, because her appointments fill up fast!