{
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"Credential": "LMFT",
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"FirstLineMailingAddress": "1720 EL CAMINO REAL STE 140",
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"MailingAddressCityName": "BURLINGAME",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-282-1778",
"MailingAddressFaxNumber": "415-296-5299",
"FirstLinePracticeLocationAddress": "1720 EL CAMINO REAL STE 140",
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"PracticeLocationAddressCityName": "BURLINGAME",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-282-1778",
"PracticeLocationAddressFaxNumber": "415-296-5299",
"EnumerationDate": "12/02/2013",
"LastUpdateDate": "07/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "80079",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}