| NPI | 1497320485 |
|---|---|
| Doing Business As | AMANDA A VACCA LMHC |
| Entity Type | Organization |
| Authorized Contact | AMANDA ASHLEY VACCA Proprietor 914-414-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2021-05-23 |