| NPI | 1104982859 |
|---|---|
| Former Name | RANDI MICHELLE HERMAN-ROGGEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-2209) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-2209) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-09-13 |