| NPI | 1306936372 |
|---|---|
| Former Name | ELIZABETH MARY SCANLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 4999) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-01-07 |