| NPI | 1619421880 |
|---|---|
| Former Name | BREANNE BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801101631) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801101631) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2019-05-01 |