| NPI | 1699220509 |
|---|---|
| Former Name | CHERYL LYNN RUBIACO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 65803) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2022-12-30 |