Fees and practical details

Session fees

Individual therapy: $195 for a 50-minute session.

I have immediate openings for individual therapy.

The initial consult is free and lasts about 15 minutes. A gender-affirming care letter assessment is billed at the same session rate, $195, and usually takes one session; the letters page explains the process.

Insurance and superbills

I’m out of network and do not bill insurance directly. You pay for the session, and I can provide a superbill: an itemized receipt you may submit to your insurer for possible reimbursement.

Before scheduling, you can ask your insurer about out-of-network mental health benefits, your deductible, reimbursement limits, and any requirements for telehealth sessions. Coverage and reimbursement are not guaranteed.

Location and access

Sessions take place online. You must be physically located in Pennsylvania during a session.

Let me know about sensory needs, processing time, communication preferences, or anything that could help you participate. We’ll talk through what can work, including camera use.

Scheduling and cancellations

Once we’ve had the consult, I use a secure client portal for scheduling, intake paperwork, and messages.

Please give at least 24 hours’ notice to cancel. Late cancellations and missed sessions are charged the full session fee.

Good Faith Estimate

If you are uninsured or are not using insurance, you have the right to a written Good Faith Estimate of expected charges. Read the notice and cost-estimate information.