| NPI | 1366069338 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JACQUELINE AYOUB Owner 512-980-0590  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education | 
| Enumeration Date | 2020-06-25 | 
| Last Update Date | 2020-06-27 |