| NPI | 1093764227 |
|---|---|
| Former Name | BONNIE JO BUMPUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I10302) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 976064) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2007-07-09 |