| NPI | 1780322479 |
|---|---|
| Doing Business As | AMANDA WIENS |
| Entity Type | Organization |
| Authorized Contact | AMANDA WIENS Owner 405-664-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-10-25 |