| 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 |