| NPI | 1659326528 |
|---|---|
| Other Name | KIRSTEN P HENDERSHOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC10414) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC1527) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-06-04 |