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 |