| NPI | 1811520646 |
|---|---|
| Former Name | MOLLY JOY TALKINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GC61352116) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-10-14 |