| NPI | 1588016836 |
|---|---|
| Other Name | CARMYN JO COY HARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84687) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 365484) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |