Contact Me Name * First Name Last Name Email * Phone * (###) ### #### How did you hear about me? * Google Psychology Today Word of mouth (friend, collegue, etc) Healthcare provider (therapist, doctor, etc) Health Insurance Other Message * Thank you!If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.By sending a message, you consent to being contacted by this practice or SimplePractice via email, phone, voicemail, or text.By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. Interested in working together? Just share a few details, and I'll be in touch soon. Excited to connect with you!
