{
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"EIN": null,
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"OtherCredential": "M.A., MFT",
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"FirstLineMailingAddress": "11850 WILSHIRE BLVD",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90025-6609",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-699-2508",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11850 WILSHIRE BLVD",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressTelephoneNumber": "310-699-2508",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/29/2012",
"LastUpdateDate": "03/29/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC51168",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}