With her initial undergraduate training in music Ruah also works within multi-media installation/ performance. She completed the MA Performance Making at Goldsmiths college, University of London in 2019, collaborating with a range of international practitioners to create interdisciplinary live work. Sound remains a key part of her practise with influence coming from her choral and string playing background.

She has received numerous funding awards from bodies such as The Arts Council, Wexford Artlinks, DunLaoighreRathdown CountyCouncil and Goldsmiths college, London and she is currently working on a solo project under the mentorship of UK artist Graeme Miller, 

In 2015 she co-founded  Live-Art duo Beef or Salmon with visual artist Tara McGinn, and has worked in creative roles for numerous practitioners such as visual artist Alanna O'Kelly. As a musician she has worked as a conductor, cathedral singer( St. Finbarres Cathedral, Cork and Christ Church Cathedral, Dublin), performer and music teacher among other roles. Her choral singing experience includes groups such as the Irish Youth Chamber Choir with whom she performed at London's BBC Proms(2013), sang among vocal ensemble The Cardinall’s Musick at Kilkenny Arts Festival ( 2015), and toured to Toronto, Canada( 2016). She currently teaches with Castleknock School of Music and The Cassidy Academy of Music, Dublin.