Stories

November 4, 2025

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When Nisha Desai and Alice Zhang met at Harvard Business School, neither of them expected that a casual conversation about their frustrations with therapy would spark the idea for something much bigger.

As they juggled graduate school and their own mental health, they often felt therapy wasn’t built for people like them – they spent more time explaining their background to their therapists than actually healing. 

They realized it wasn’t just them – there’s a gap in mental healthcare that left many in the Asian and multicultural community feeling unseen and misunderstood.

That shared realization became the seed for Anise Health: a platform built to make therapy culturally attuned, accessible, and truly effective for the AAPI community.

A Problem They Both Knew Too Well

Before their paths crossed, both founders had already seen the same issue from different directions.

Nisha, who grew up in Florida in a family of healthcare entrepreneurs, had always been drawn to questions of access and equity in care. After studying finance and marketing at the University of Pennsylvania’s Wharton School and earning her MBA from Harvard, she worked in healthcare investing and later in digital product management at Humana. It was there, while helping build a mental health app, that she started hearing a troubling pattern from thousands of users – the same barriers she had personally faced.

Nisha recalls that people weren’t saying therapy didn’t work. They were saying it didn’t fit, that they didn’t feel understood.

Alice, meanwhile, came to the same conclusion through her own deeply personal experiences. Born in China, raised across Japan and Canada, and now based in New York, she calls herself a “third culture kid.” Her multicultural background gave her adaptability, but also a sense of never fully belonging anywhere.

That feeling resurfaced when she sought therapy during business school. Despite being fluent in English, she found herself translating her own emotions for her therapist – explaining why criticism from parents felt like love, or why pursuing excellence felt non-negotiable.

Alice remembers feeling exhausted after each session, explaining her background again and again, and leaving each time feeling unseen.

Alice Zhang (left) and Nisha Desai (right)

Building a Culturally Grounded Model of Care

After that pivotal conversation at Harvard, the two women began mapping out what culturally attuned mental health care could look like. They spoke to clinicians, patients, payors and community leaders, testing how cultural nuance could be integrated into evidence-based therapy and coaching.

They envisioned a new kind of care model: one that didn’t require clients to educate their therapists or set aside their cultural identity at the door. Instead, therapy would start from a place of understanding.

“Alice and I really built Anise to be what we believe our community has needed during our upbringing. What we kind of wished for ourselves through our own personal journeys with therapy.”

But building what didn’t yet exist came with challenges. They had to prove — to investors, clinicians, and even the broader healthcare system — that cultural context wasn’t just a “nice to have,” but essential to effective care. Many mental health professionals hadn’t been trained to deliver culturally adaptive therapy, so Anise Health had to design that framework from the ground up: provider training programs, accurate diagnostic tools, tailored care plans, curated resources and a scalable model for personalized, culturally attuned care.

Their persistence paid off. What started as late-night brainstorming sessions between classes evolved into a fully fledged mental health platform that blends clinical rigor with cultural empathy.

Growing the Movement

Since its founding, Anise Health has facilitated over 10,000 paid appointments and built a network of 60+ licensed providers across multiple states. The company is now expanding through insurance partnerships that make culturally attuned care more affordable and accessible.

Behind the scenes, Nisha leads operations and product design, while Alice drives partnerships and provider training.

Their complementary strengths, coupled with a shared sense of purpose, have helped Anise Health raise $6.4 million in funding and gain recognition as one of the top 10 most innovative Asian Pacific-led companies to watch by NYSE, Y Combinator, and Gold House.

Redefining the Future of Mental Health for Asian Communities

For both founders, Anise Health’s success goes beyond numbers. It’s about shifting how mental health is understood and delivered, starting with a community that has long been underserved and stigmatized.

“Our goal isn’t just to make care available,” Nisha says. “It’s to make it effective, culturally relevant, and sustainable within the healthcare system.”

By creating a new gold standard of culturally attuned care, Nisha and Alice aren’t just helping Asian Americans access therapy that finally feels like it speaks their language – they’re reimagining what inclusive mental health care can look like for everyone.

Learn more about Anise Health at anisehealth.co

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“We are still pinching ourselves that our Twrl’s Taiwan-Style Black Milk Tea is now in Southern California Costco!” Olivia says, “We’re starting with 3 locations: Irvine, Monterey Park, and Tustin (2700 Park Avenue).” 

Pauline (left) and Olivia (right)

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Roadshow Or Small Rotation

We met our buyer at Expo West (Think Super Bowl for the Food & Beverage industry where retailers and manufacturers meet up. Super worth doing if you are in CPG. We even landed our 1st TV interview).

After Expo West, we sent more samples to the office and began negotiations for placement. We were offered two ways of being at Costco:

Roadshow

  • 4 days of selling on consignment. We could control costs by using our own people and decide the volume of product we wanted to bring in.
  • Typically, this is how small brands enter Costco. If it does well, you are offered a rotation. If you don’t do well, then it’s really hard to get into the regular set.

Small Rotation

  • We started with a number of stores and the item is part of the regular set.
  • This is harder to secure because Costco is paying for the inventory and the buyer has to believe in your product.

In both situations, it is critical that Twrl Milk Tea sells well and ideally sells out. Why is this important?

It proves to the Costco Buyer that there is a market for our better-for-you plant-based milk teas. More importantly, companies owned by Asian American small business owners like ours are proven to be great partners worth investing time in and onboarding.

Reasons For Opting for Small Rotation

After a few weeks of due diligence on our end, we decided to go with a small rotation. Our reasons were simple:

  • Our manufacturer could produce the volumes needed and in the time we needed. Not always the case in this crazy supply chain. We are made in the USA so it makes a huge difference in our speed for delivery.
  • We could handle the financial obligations to fund the inventory. It’s a lot of money upfront so it’s not a light decision for a smaller company like ours. And, there is still a chance you can be sitting on inventory if it does not sell through.
  • We are committed to Costco and wanted to be part of the regular set and did not want to take the chance that with Roadshow which is only 4 days could be a bust due to so many variables that we may not be able to control.
  • We love Costco ourselves and shop there regularly so we saw our consumers there! Did you know the typical Costco shopper is 35-44 years old, an Asian female making $125,000 and the average trip is $114?!

Roadshow which is only 4 days could be a bust due to so many variables that we may not be able to control.

-Olivia Chen

Decisions, Decisions, Decisions

What flavor to sell?

Out of our 3 flavors, we selected Taiwan-Style Black Milk Tea to launch because it’s one of our best sellers and our Taiwan-Style Black Milk Tea flavor is really unique. Our single-origin loose-leaf black tea is a one-of-a-kind varietal, sourced from a small multi-generational family farm on a misty slope, fed by sweet mountain spring water.

Our tea flavor, aroma, and health benefits are un-parallel to anything on the market. We use pea milk and lightly sweetened our teas with organic agave so our tea flavors really come through. Only 45 calories & 6g of sugar per can.

What would the packaging look like?

Packaging design and sourcing begin for Costco. Luckily for us, Pauline Ang is a seasoned graphic design guru (with 15+ years in the food and beverage packaging for Fortune 500 companies) and designs all our packaging in-house so we could save costs and time here!

How to onboard?

Mountains of paperwork for our two-person team begin. We didn’t use a broker and did everything ourselves. Yes, a broker would have been so incredibly helpful to answer all the questions that we didn’t know the answers to and definitely would have saved us some headaches.

Big Takeaways

  • Don’t be afraid to chase the account you want to be in. Don’t be shy about sharing your vision of where you see the company. Special thanks to Ryan Sung of Honolulu Cookie Company and Vincent Kitirattragarn of Dang Foods for talking to us about their journey with Costco and encouraging us to go for it.
  • It can be done without a broker but not without headaches and some huge learning curves and we did make some mistakes along the way.
  • Have an advocate. We have been super lucky that our buyer has been so incredible to work with and it’s important to have such an advocate in the company. Cannot over-emphasize this enough!
  • Your team matters. Grateful to share this journey with Pauline Ang who is such an amazing friend and business partner. We are two moms that love Milk Tea and simply wanted to make milk tea —a quintessential Asian drink that we love—even better.

Don’t be shy about sharing your vision of where you see the company.

-Olivia chen

Connect with Olivia and Pauline

Your support would mean the world to our small business and the small family farms that use sustainable practices for a tea that’s better for you, and better for the planet. Follow our journey: Instagram, Facebook, TikTok, Twitter

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