Contact ME Name * First Name Last Name Phone Number * Email * Health insurance? * If so, which one do you currently have? What are you interested in working on in therapy? * Choose one or multiple options! Frequent Sadness Feeling on edge often Worrying a lot Family issues Relationship struggles Life transitions Stress management Coping skills Purpose and direction Physical health and nutrition Menstrual health Self esteem Body Image Who referred you to my practice? Denisse Monge Annie Vasquez (@anniethealchemist) Michelle Agudo (@ompeaceyogi) Marie Fernandez de Curtis (@frombarrentobrazen) Joanna Garcia Bianca Falcon Amy (@iamresiliencebabe) Ria Trujillo (@relentless_rebel_ria) Other Thank you!