Individual
UNA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/20/2019
Last updated
08/27/2019
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