| NPI | 1316018427 |
|---|---|
| Former Name | SUZANNE MARLOW HARDEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4747) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2009-06-05 |