| NPI | 1114230703 |
|---|---|
| Former Name | INGRID FAVIOLA CARTAGENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM637) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LCM637) |
| 101YM0800X Counselor, Mental Health (Licence: MD LCM637) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-10-31 |