| NPI | 1700134715 |
|---|---|
| Former Name | NABUCHI GRACE MASONGEZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH 11052) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2013-07-30 |