| NPI | 1245615426 |
|---|---|
| Professional Name | KRISTA HERNDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.018860) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.015484) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-09-13 |