| NPI | 1205483286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY LU Owner 415-322-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |