| NPI | 1962560680 |
|---|---|
| Professional Name | JESSIE MARIE VACCARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: PA PC002308) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002308) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |