I provide therapy for adults ages 18+ and of all genders. Sessions are 50 minutes.

You must be physically located in Washington State to receive services. Currently, I hold therapy sessions both in person in the Madison Valley neighborhood in Seattle and via telehealth.

For therapy to be effective and healing, it’s so important to find someone you’re comfortable working with. I offer a free, 15-20 minute consultation by phone so we can discover whether we’re a good fit and to answer questions you might have. To request a consultation, please submit this form.

My fee is $170 per session. I offer limited reduced fee spots that are available dependent on a client's financial circumstances and my current caseload.

As described here, you have the right to receive a “good faith estimate” for the cost of my services, which I will provide to you if we begin working together.

I‘m not in network with insurance providers. However, I can provide you with invoices (also known as “superbills”) that you can send to your insurance company to request reimbursement.

If you are interested in seeking reimbursement from your insurance company for my services, I recommend asking them the following questions:

• Do I have out-of-network benefits? And if I do:

• Have I met my deductible?

• Does my plan cover reimbursement for services from Licensed Mental Health Counselors (LMHC’s) for CPT code 90834?

• Does my plan limit how many sessions per calendar year I can have?

• What is the percentage of reimbursement for out-of-network services?

I typically ask for a commitment to a weekly cadence because it is important to the type of work we will undertake together. My therapeutic approach is oriented towards a deeper process of bringing to light the parts of oneself that have remained hidden, unconscious, or unknown – parts that are difficult to catch sight of or to work with sporadically or alone. This approach, therapeutic work in general, and healing depend on working through relationship. This in turn depends on building a sense of emotional safety and trust between us. As a therapist, I have found that this fertile ground is difficult to create without consistent and frequent time together; I know this from my experience in the client seat as well.

Weekly sessions also mean: using rather than losing insights and toeholds for change that you are developing; showing yourself that you are prioritizing your own healing and growth; supporting your ability to keep open the window for vulnerability and openness that allows you to access your inner self; and spending less time catching up and instead focusing on moving deeper and forward.

Some people find it useful to meet more than weekly. If this is desired and clinically appropriate, I’m happy to discuss this.

I chose “Crescent” for the name of my practice because it represents some of what I hold dear about therapy and being human. The origin of the word is rooted in “growth.” I love looking at a crescent moon and being able to believe and trust - even if I cannot see it illuminated in the moment - that there is always a whole moon there. As with any of us, there is forever more than we can know and see, change is always taking place, and we can never be done discovering what is there and what can be.

Therapy is for you, and it’s important that the relationship you embark on with a therapist is safe and characterized by a reverence for confidentiality and your wellbeing. Here are several things you can inquire about to assess this with a potential therapist:

• Is the therapist’s license active and has disciplinary action ever been taken against them?

  You can find this information using a therapist’s name or their license number (their licensure type is likely Licensed Mental Health Counselor or Licensed Mental Health Counselor Associate; Marriage and Family Therapist or Marriage and Family Therapist Associate; or Psychologist). Here is where you can search in the State of Washington: https://fortress.wa.gov/doh/providercredentialsearch/

• Does the therapist use AI in their practice, and if so, how do they ensure your consent and protect sensitive information about you?

  This is a rapidly evolving issue that therapists themselves are finding challenging to keep up with, but as of 2025, numerous electronic health records platforms –  which many therapists use to store clinical documentation, host video sessions, record notes, manage a calendar, etc. – are incorporating AI as a part of their functionality. For example, some platforms (if a therapist opts in) record video sessions with clients and then automatically generate clinical notes on behalf of the clinician. In that case, AI is listening in and processing and “thinking” about you.

  Confidentiality is paramount in therapy; it goes hand in hand with your safety. You have a right to ask a therapist about their practices relating to AI, to be asked for your consent before it is used in relation to your data and therapy, and, if you wish, to not see a therapist whose practices incorporate AI.

• How does the therapist ensure that they remain cognizant of and in touch with power dynamics, their own “stuff,” and how these show up in therapy with you?

  The therapist-client relationship should be mutual in the sense that the therapist, like the client, is showing up as their “real” self. Despite being mutual, the relationship is also inherently asymmetrical, with the therapist holding a certain power by virtue of their role.

  It’s critical that therapists have regular practices that help them stay mindful of and accountable to this. For some, that means being in their own therapy or regularly consulting with peer clinicians or mentors. You have a right to ask a therapist about their own practices in relation to this.