| NPI | 1922134071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K VUCINOVICH Owner Psychologist 612-889-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1141) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2020-08-22 |