NPI | 1720722978 |
---|---|
Professional Name | DEREK LI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01031200) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: PA PC016319) | |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-11-07 |