| NPI | 1215768262 |
|---|---|
| Former Name | RYLIE SEGARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.029192) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105231) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-04-21 |