| NPI | 1376060624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L VAN FOSSAN Owner/Sole Practioner 732-245-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12010) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |