Your first visit is a chance for me to get a clear picture of your health and your goals. I’ll ask about your current eating patterns, your health history, your lifestyle, and the influences that shape the way you eat. We’ll talk about what matters most to you, your knowledge of nutrition, and what you’re hoping to change or understand better. 

From there, we’ll decide together what the first steps should be. For simple concerns, we may be able to build a plan right away. For more complex situations, we’ll outline a path forward so you know what to expect as we continue working together. 

Some sessions focus mainly on education, clarifying what’s happening in your body and giving you specific dietary recommendations. Others lean more toward counseling, motivation, and helping you navigate the habits, barriers, and patterns that affect your health. It really depends on what you need and the pace that feels right for you. 

My role is to listen carefully, offer evidence-based guidance that fits your life, and support you in making changes in a way that is manageable and aligned with your values and preferences. 

Using an integrative and functional approach to nutrition, we view the body as an interconnected system where food, lifestyle, environment, and daily habits all shape your health.  

Digestion, energy, hormones, inflammation, stress, physical activity and sleep influence one another, and nutrition plays a central role because it affects every system in the body.  

We also can use tools like sleep, activity, food or glucose trackers, and functional labs including micronutrient testing or gut microbiome testing to help understand the bigger picture behind your symptoms and choose steps that support long-term health and well-being. 

It really depends on what you’re working on and how much support you need. Some people only need a visit or two to get clear information about their condition and a few tailored resources. Others benefit from more ongoing support, accountability, or help navigating symptoms that are complex or changing. 

If your condition has been long-standing, if you’re making significant changes to your diet, or if your symptoms shift over time, more frequent visits can be helpful.  

I have a 100% virtual practice using a secure online platform, which allows you to meet with me from your home or anywhere you’re comfortable. At this time, I don’t offer in-person appointments.

Yes. I’m an in-network provider with the following companies and I’m able to bill insurance only for clients who are located in Washington State.   

• Regence 

• Premera 

• LifeWise 

• United Healthcare 

• Cigna 

• First Choice Health 

• Kaiser PPO plans 

I always recommend calling your insurance company to confirm that your specific plan covers nutrition services. You can give them the billing codes 97802 (initial visit) and 97803 (follow-up visit), and let them know the conditions you want to address and ask what your co-pay or co-insurance will be. This is the best way to verify your benefits and any out of pocket costs, as I’m not able to contact insurance companies on your behalf. 

If you’re paying out of pocket, I also accept HSA and FSA.  If needed, I can provide a superbill that you can submit to your insurance for out of network benefits. 

I’m able to bill insurance only for clients who are located in Washington State. For all other visits, a time-of-service discount is applied. 

Billed to insurance (Washington State): 

• Initial visit (60 minutes): $200 

• Follow-up (60 minutes): $170 

• Follow-up (30 minutes): $85 

Patient pay / time-of-service discount with credit card on file: 

• Initial visit (60 minutes): $170 

• Follow-up (60 minutes): $150 

• Follow-up (30 minutes): $ 75 

If you have questions about whether your insurance covers nutrition visits, I encourage you to contact your plan directly to confirm your benefits. 

A little preparation can make your first visit much more helpful. Here’s what I recommend uploading to the patient portal ahead of our visit: 

• A recent food log (even a few days is useful). If you prefer an online tool, I recommend Cronometer.com.  During our session I can send you a link so I can view what you tracked. 

• If you have food allergies or have a limited or restricted diet, please fill out and submit this Tolerated Foods list (link?) 

• Any recent lab work you’d like me to review that pertain to your condition 

• A detailed list of your supplements and medications. 

• Your questions or concerns, written down so we can make sure we cover what matters most to you. 

• Your intake paperwork, filled out as clearly and specifically as possible. 

If you plan to use insurance, it’s also a good idea to check your benefits ahead of time to make sure nutrition visits are covered and that I’m in network. 
An initial nutrition visit code is 97802 and follow up codes are 97803. 

With more than 25 years practicing integrative and functional nutrition in various healthcare environments, I’ve helped people manage many types of nutrition issues. Here are the areas where I have the most experience: 

• Digestive issues: IBS, IBD (Crohn’s and Colitis), Diverticulitis, SIBO/IMO, reflux, and general gut support 

• Neurological conditions: especially Parkinson’s disease 

• Women’s health: perimenopause, menopause, and hormone-related concerns 

• Cardiometabolic health: hypoglycemia, prediabetes, diabetes*, high cholesterol, hypertension, and cardiovascular support 

• Food allergies and elimination diets, including gluten-free, dairy-free, low FODMAP, low-histamine and other therapeutic diet patterns 

• Kidney health: chronic kidney disease (especially Polycystic Kidney Disease (PKD), and kidney stones 

• Complex conditions: POTS, Ehlers-Danlos syndrome (EDS), histamine intolerance and autoimmune conditions 

*I refer out to a Certified Diabetes Care and Education Specialist® (CDCES®) for people who are struggling to manage insulin dosing 

Yes, I can create meal plans, but personalized plans are often more involved than they look. For many people, it takes a couple of visits so we can sort through your needs, preferences, and any medical considerations. I usually build meal plans with you so you feel confident making adjustments on your own rather than relying on me for every change. 

I also have some “off-the-shelf” meal plans for certain complex conditions, and I share plenty of resources including recipe websites, food products, and lists of meals you can mix and match. Working together on this usually leads to a plan that’s more realistic, flexible, and useful for your day-to-day life. 

My practice focuses on adults over 18, and I don’t have many child-specific resources since my training and experience is centered on adult nutrition. I occasionally see teenagers if they are motivated and interested in nutrition support. If you’re looking for a pediatric specialist, I recommend Dandelion Nutrition (in Seattle), who do excellent work with children and families. 

I understand that schedules change and things come up unexpectedly. I try to be as flexible as possible, and you can always reach out if something urgent happens. 

For routine scheduling changes, I ask for at least 24 hours’ notice to cancel or reschedule an appointment. This gives me a chance to offer the time to someone else who may be waiting. 

If an appointment is missed without notice, or if late cancellations happen repeatedly, a $100 no-show fee will be charged. Illnesses or true emergencies are always exceptions, just let me know what’s going on, and I’m happy to help you find another time. 

Generally no, unless you have a serious food allergy or a medical condition that truly requires avoiding certain foods. My approach is collaborative. We will talk about your goals, your preferences, and what is realistic for your life.  

Most people don’t respond well (or long term) to being told exactly what to do, and I respect that. My role is to help you sort through the options that could support your health, offer evidence-based guidance, and give you tools and resources so you can make choices that are sustainable and right for you. You stay in charge of your decisions, and we work together to create something that’s both effective and doable.