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Appointment Request

If you wish to attend a workshop, seminar, or retreat or for information about how to set up an individual or group intake appointment, please fill out the form below or call me at (310) 740-5289.  Do not leave messages of an urgent nature as they may not be retrieved in a timely manner.  If you need crisis assistance please call the suicide hotline at (877) 7-CRISIS or (877) 727-4747.


We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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Helpful Forms

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