| NPI | 1487310850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAINEY YOUNKIN Registered Dietitian 636-346-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |