New Client Interest

Thank you for your interest in working with me. I am currently accepting new clients on a limited basis. Please fill out the form below and I will contact you as soon as I have an opening that matches your availability.

Name *
Phone *
Please include the name of the therapist or program by whom you were referred or how you found me (e.g. google search, Psychology Today, etc.)
Please briefly describe your availability (i.e. evenings only, daytime availability, etc.) Please note that I do not see clients on weekends.
Please briefly describe the type of therapy you are seeking (i.e. individual, couple, family).