| 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 |