Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1003106634 |
---|---|
Provider Name | Jennifer Bilyeu Ulibarri |
First Address | Boulder City, NV 89005-2822 |
Second Address | Boulder City, NV 89005-2822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 16/04/2011 |