| NPI | 1255779203 |
|---|---|
| Former Name | ERNESTINE DELORES AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60527397) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2018-12-26 |