| NPI | 1972851657 |
|---|---|
| Professional Name | ALICIA LASALLE HENINGBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11963) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-03-17 |