Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 946657 | NY |
NPI | 1073289849 |
---|---|
Provider Name | Dr. Sara Fromboluti |
First Address | Waimea, HI 96796-0518 |
Second Address | Waimea, HI 96796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2021 |
Last Update Date | 20/08/2021 |