Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 64214 | TX |
NPI | 1003135369 |
---|---|
Provider Name | Elizabeth A Tofani Garcia |
First Address | Pleasanton, TX 78064-4033 |
Second Address | Karnes City, TX 78118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 02/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64214 | TEXAS LPC LICENSE (01) | TX |