{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "Y",
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"NameSuffix": null,
"Credential": "LICENSED COUNSELOR",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "33 WOOD AVE S",
"SecondLineMailingAddress": "6TH FLOOR",
"MailingAddressCityName": "ISELIN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08830-2735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-536-0076",
"MailingAddressFaxNumber": "732-972-8846",
"FirstLinePracticeLocationAddress": "33 WOOD AVE S",
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"PracticeLocationAddressCityName": "ISELIN",
"PracticeLocationAddressStateName": "NJ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-536-0076",
"PracticeLocationAddressFaxNumber": "732-972-8846",
"EnumerationDate": "02/04/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "37PC00331900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}