| NPI | 1134650104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M HENSGENS Owner/Manager 337-526-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2000) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |