| NPI | 1265149801 |
|---|---|
| Former Name | ANDERSON HURST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112019) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-01-18 |