Let’s work togetherPlease note: This form is not encrypted. To protect your privacy, be mindful of sharing any sensitive health information through this medium. If you would like to schedule a 15-minute consultation with me, you can do so on Calendly. Name * First Name Last Name Email * Phone Country (###) ### #### What service(s) are you interested in? * Psychotherapy and clinical consultation are only available to California residents; however, I can work with coaching and end-of-life clients worldwide. Individual psychotherapy Couples/relationship therapy Ketamine-assisted therapy Coaching End of life services (death doula) Clinical consultation How did you find me? * Alchemy Community Therapy Center Inclusive Therapists Psychology Today Tender Heart Healing Arts Open Path Collective Referral Other Message * When are you available for a consultation? * Provide your availability for a 15-minute call within the next 7-10 days. If you are located outside of California, include your time zone. Thank you!