| NPI | 1699103473 |
|---|---|
| Former Name | NICOLE A RETTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05948300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00242200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2021-02-12 |