| NPI | 1982430427 |
|---|---|
| Former Name | BENITA JO WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 51324-0125) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-06-16 |