Contact

First name

Last name

Email

Phone

Preferred Method of Communication

Email

Phone

What service(s) are you seeking support with?

Individual Therapy

Perinatal/Postpartum

EMDR

Life Transitions

Relationship Challenges

Anxiety

Disordered Eating/Body Image

Identity & Sexuality

Sexual Health

Family/School Consultation

Do you intend to use insurance? If so, please indicate your current insurance provider.

Preferred days/times for me to contact you for follow-up communication.

63 Unquowa Road

Fairfield, CT 06824

Clinically licensed in the state of Connecticut.

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