| NPI | 1497034904 |
|---|---|
| Other Name | IVAN LEI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2013-07-05 |