| NPI | 1750192050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEELA BRANDS Co Owner 763-233-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |