I am a licensed clinical social worker in the states of Pennsylvania and Hawaii. When working with clients who reside in those states, our work may be referred to as psychotherapy or clinical social work, and is conducted within the scope of my professional licensure. You are welcome to submit your paid invoices from our office to your insurance company for out-of- network reimbursement. If you reside outside of Pennsylvania or Hawaii—whether elsewhere in the United States or internationally—our work together will be referred to as coaching, rather than psychotherapy or clinical social work. This is purely due to licensing regulations and does not reflect a change in the quality, depth, or focus of the work we do together. In coaching, we may explore many of the same areas—emotional wellness, behavioral patterns, relationships, personal growth, and life transitions—using the same training, experience, and care I bring to my clinical practice. However, because this work falls outside the scope of state licensure, it is not considered psychotherapy and does not carry the same legal or regulatory protections. This allows us the freedom to work together from anywhere in the world, while remaining transparent about the nature of our professional relationship. This does mean, however, you cannot submit invoices to your insurance provider for reimbursement.