NPI | 1548619703 |
---|---|
Other Name | JACQUELINE DE LON SUGARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT17279) |
Additional Taxonomies | 102L00000X Psychoanalyst |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-06-08 |