Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003125857 |
---|---|
Provider Name | Ms. Judith Wolf |
First Address | Northampton, MA 01060-2809 |
Second Address | Northampton, MA 01060-2809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 28/09/2010 |