| NPI | 1659910958 |
|---|---|
| Professional Name | PAMELA JO LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60582613) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |