Miami Somatic Therapy

Please answer thoughtfully — this helps us know if working together feels aligned. Thank you!

First and Last Name *

Email *

Phone Number *

Location *

How did you hear about my practice? (Insta, Google, Referral — If referral, please write who) *

Instagram Handle or LinkedIn (this helps me vet you're a real person): *

What do you currently do for work or in your day-to-day life? (e.g., job, parent, student, in transition, etc.) *

In 1-2 sentences, please describe what are you hoping to gain from working together *