Name *

You are welcome to include your preferred name & pronouns - ex: Liz (she/her)

First Name

Last Name

Phone

(###)

###

####

Please indicate your availability *

Morning

Afternoon

Evening

Are you looking for in-person or virtual therapy? *

I offer in-person office visits in Fishkill, NY and virtual visits for anyone located in New York State.

In-Person

Virtual

Open to both in-person and/or virtual