NPI | 1609647825 |
---|---|
Doing Business As | INDIVIDUAL EMPOWERMENT THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | SELENA BRIANA BUENO CEO 909-544-1492 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |