| NPI | 1881692986 |
|---|---|
| Former Name | SUZETTE DELPHINE HARDESTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002395) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0902) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-09 |