| NPI | 1073642484 | 
|---|---|
| Former Name | RUBY DELANA WADE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61180) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7831) | 
| 1041C0700X Social Worker, Clinical (Licence: AR 12372) | |
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2025-09-15 |