| NPI | 1639450810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J VUJNOVICH Sole Propietor 228-388-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MS 1709) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |