For more than 25 years, I've been helping people navigate sexuality, intimacy, relationships, identity, and life's many transitions.

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I'm a Sex Therapist, Coach, Educator, and long-time ally to sex workers. My work has always centered around creating a space where people can show up exactly as they are, without shame, judgment, or the need to explain themselves.

Because being human is complicated.

Relationships are complicated.

Bodies change.

Identities evolve.

Life rarely unfolds the way we thought it would.

And sometimes the things we're struggling with are the very things no one wants to talk about.

That's where I come in.


My Approach

I believe people heal when they feel seen.

Not fixed. Not judged. Seen.

Whether you're navigating relationship challenges, intimacy concerns, identity shifts, career transitions, aging, menopause, anxiety, grief, or simply trying to figure out who you are in this season of life, my goal is to create a space where you can be fully yourself.

My clients often tell me:

"I don't have to explain myself here."

That feeling matters.

Especially for people whose lives, work, relationships, or identities are often misunderstood by others.


A Special Focus on Sex Workers

& Midlife Transitions

Throughout my career, I've worked extensively with current and former sex workers, helping clients navigate everything from relationships and self-worth to career transitions and life beyond the industry.

More recently, my work has expanded to include the often-overlooked intersection of sex work, aging, perimenopause, and menopause.

As someone moving through this stage of life myself, I understand both professionally and personally how disruptive these transitions can feel.

The body changes.

Desire changes.

Confidence changes.

Sometimes the entire sense of who you've always been changes.

You are not imagining it.

You are not alone.

And you do not have to navigate it by yourself.


My Training & Credentials

I earned my Doctorate of Human Sexuality from The Institute for the Advanced Study of Human Sexuality in 2006.

I also hold:

• Associate Degree in Sex Education
• Certification as a Clinical Sexologist through the American College of Sexologists
• Memberships in AASECT and SSSS

Over the past 25+ years, I've worked with individuals, couples, groups, and organizations as a therapist, coach, educator, presenter, consultant, and advocate.


Outside the Office

I currently live north of Austin, Texas with my daughter, my consort, a black cat, and a ball python named Prince Cutie Pants.

And yes, people usually remember the snake.


If you're looking for support...

Whether you're navigating intimacy, relationships, identity, menopause, career transitions, or simply trying to reconnect with yourself, I'd be honored to walk alongside you.

You don't have to figure it out alone.

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Dr. Miro helped me build a toolbox of life skills. She encouraged me to figure things out on my own and not use therapy as a crutch. No other therapist has ever helped and prepared me for the rest of my life. Dr. Miro gets me. I don’t have to explain why I am a Doninatrix. When I feel myself getting off-kilter, I now ask myself:

 What is the issue or purpose?
 What do I hope to achieve? 
How will this affect me?
 Am I prepared for the consequences?
— Charlie 39, they/them (Domina/Creatrix/SexWorker)