Legal Name * First Name Last Name Preferred Name Pronouns * Email * Phone * (###) ### #### What services are you interested in? * Individual Therapy Out of pocket Individual therapy out of pocket w/Superbills Join Waitlist For a Sliding Scale Space Join waitlist for future groups! Professional consultation Fee Acknowledgement * My session fee is $250 per 50-minute session. At this time, my two reduced-fee spaces are full, though the waitlist is open. If you are seeking lower-cost options, I can provide referral resources. I have read and understand the fee information above. How did you find my practice? * Message * Thank you! I will be in contact soon. Let’s work together
