Duration of therapy can vary. What is important is that we work together to identify your goals and expectations for our work together.

Initial 30-minute in person informational session: FREE

75-minute initial session or extended: $185

50-minute session: $140

I understand that therapy can be a significant financial commitment and that often we cannot estimate how many sessions you may need. The goal is to continue our work together only as long as the process is beneficial towards your goals. Usually this means working with you weekly or every two weeks in order to solidify gains that are made.

I accept full payments for services by cash, personal check, credit card or HSA accounts. 

 Payment at the time of service and billing is done through the office manager at Mettarel.


I currently do not accept health care insurance, however I can provide you with a monthly receipt (“superbill”) that you can forward to your insurance company in the case that they can reimburse you. Please let our office manager know if you would like her to call your insurance company to see if they cover out of network providers. Many insurers offer partial coverage of an out of network session.




I have set aside our appointment time specifically for you, so it’s important that you let me know as soon as possible if you need to cancel or reschedule. Appointments cancelled less than 24-hours ahead of time will be charged as a normal appointment, with the exception of emergencies. Cancelled appointment charges cannot be submitted to insurance. Voicemail and email are available 24 hours a day, and I check both regularly. You can call the main office at 206-472-9297 during office hours  or call my work cell at 206-548-6185.


How medical information about you may be used and disclosed and how you can get access to this information is governed by the Healthcare Insurance Portability and Accountability Act (HIPAA). Please click on the tab below for a summary of your rights and my responsibilities: