| NPI | 1447759683 |
|---|---|
| Former Name | BLANCA LIZETTE REBANDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 119060) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-12-18 |