Both, but only for clients located in California. You can choose secure HIPAA-compliant telehealth or in-person sessions in my private Sacramento office. Some clients alternate between the two based on schedule and preference.

I am an out-of-network provider. Many clients use their benefits for partial reimbursement by submitting a superbill. I’m happy to provide all needed documentation, though reimbursement is determined by your insurance company.

Absolutely. What you share in therapy stays in therapy. The only exceptions are rare, legally-mandated situations: threats of harm to self or others, suspected abuse/neglect of a minor or dependent adult, or a court order.
I never share your information with employers, insurers, or family without your written permission.

Under the No Surprises Act, you have the right to a written estimate of the expected cost of care before services begin. This includes projected annual costs based on your goals and preferred frequency of sessions. It is not a contract—you can pause or discontinue therapy at any time. You can learn more at: www.cms.gov/nosurprises

My practice is intentionally small and private. This means:

• No support staff accessing your records

• No insurance companies dictating or reviewing your care

• Encrypted, HIPAA-compliant systems for communication, documents, and telehealth

• A discreet office environment with low foot traffic

Clients who work in law, tech, healthcare, finance, public service, or other high-visibility fields often choose private practice precisely because of this level of discretion.

I routinely work with clients who require heightened discretion—more on that here. This includes staggered scheduling, direct phone access for logistics, increased discretion around written communication, and additional confidentiality measures upon request.

Please reach out to discuss your needs, and we’ll build a plan that works for your needs.

Please cancel or reschedule at least 24 hours in advance. Late cancellations or missed appointments are billed at the full session fee.

I offer a free, secure online portal for communications between sessions, which you can access online or via an app. Please reach out for scheduling or logistical needs. Clinical conversations should be reserved for session time to support your privacy, boundaries, and therapeutic work.