| NPI | 1063755411 |
|---|---|
| Former Name | VIDKY LYNN KESSLER-DUMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7228) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |