Contact Me

Name *

First Name

Last Name

Phone *

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What service(s) are you interested in? *

Reiki

Coaching

Soundbath

Guided Meditation

Collaboration

Speaking Invitation

Retreat Facilitator

Mind/Body Wellness Expertise

Who are these services for: *

Self

Family member (partner, parent or child - if minor, please provide age)

Employee(s)

Group

Have you received these services before? *

Yes (please indicate which services and how long ago)

No (how did learn about these services?)

What is your desired outcome? *

Personal Growth

Professional Advancement

Inner Child/Trauma Healing

Spiritual Wellness/Healing

Wellness Education