I specialize in ketamine preparation, support and integration via telehealth for people who have been prescribed therapeutic ketamine by mouth, iv, im, or esketamine (Spravato). I have training and experience as a death doula, and offer ketamine practitioner training and consultation. In 2025, I was proud to contribute to the Oxford University press book “Psychedelics in Palliative Care”, edited by Marcia Glass, in the chapter on ketamine. After a 23 year psychotherapy practice, I have began to expand into mental health coaching and wellness consultation. I have individual and group programs available for those at the end of life, and those who love and care for them. Although I specialize in ketamine, I have training in MDMA, ayahuasca, psilocybin, and other medicines.