Activity Therapist



Hourly rate includes the one-on-one home visit or pick-up, with individually tailored activities, as well as detailed keepsake notes on each visit: what we did together, and any observed changes in physical, mental or emotional health. These notes are emailed with the monthly invoices.

There is a 1-hour minimum charge for all sessions, even in cases where the time spent together is less than one hour. This is because the commute time and administrative work are the same regardless of the length of the session. 

Additional expenses for the session:

Surcharge for commute time over 30 minutes round-trip at half the hourly rate.
Bridge tolls, admissions fees/parking fees, etc. incurred while with client, and any food or drink consumed by the client.

Mileage @.56 per mile for travel with client in therapist’s car.

Extensive phone calls, emails or texts between the client/client's family and the activity therapist may be billed as Correspondence on the invoice at the same hourly rate that has been agreed upon by the two parties, in 15-minute increments.

Cancellation Policy: Sessions must be canceled at least 24 hours in advance by the client/client's family. Otherwise, a 1-hour minimum charge will apply. 

End of Life Doula

per hour/packages available

At this time, Zoë is in the certification process with the International End Of Life Doula Association (INELDA) and is offering discounted rates for doula services in exchange for permission to use client cases towards her certification. Zoë offers an initial meeting with the dying person and their family or caregivers at the time of terminal diagnosis/when hospice is initiated or when the client is 95 years old or older, to see how she can be of help in providing resources and emotional or spiritual support in the role of a doula. Subsequent check-in meetings can be made on a weekly or bi-weekly basis, and activity therapy or medical companion services can be provided separately, as well, during this time. Zoë will work with the dying person and their family or caregivers to form a Vigil Plan -- a plan for their wishes and needs to be met during the active dying phase. During this final phase, Zoë can provide bedside respite for family/caregivers in shifts of up to 4 hours at a time, day or night, or be present with other caregivers and family in the room at the same time. She can also call upon her insured and trusted doula colleagues to take additional shifts as needed. After the death, Zoë can help with after-death care such as washing and dressing the body, carrying out rituals requested by the dying person beforehand, or waiting with the body until it is transported to the funeral home or other designated location. 

In caring I commit myself to the other; I hold myself out as someone who can be depended on.
— Milton Mayeroff


Invoices are sent out via email once a month, with a 14-day grace period for payment. Invoices for activity therapy include detailed keepsake visit notes. Late payments are subject to late fees of $50 per week after 14 days from payment due date. Clients pay by sending a check in the mail or paying via Venmo or PayPal.

Cancellations & Terms

Cancellations within 24 hours of a scheduled session results in a minimum charge for the time. Cancellations made prior to 24 hours do not result in any charges. No tipping is allowed. Therapist will not accept any gifts valued over $25. Therapist has the right to terminate services at will. Therapist will take vacation and sick time at her own discretion. There is a 12-hour maximum per client, per week.

Limitations, Insurance & Client Profile  

Zoë’s services cannot be billed to insurance. She is not a licensed psychotherapist but often works in conjunction with licensed therapists and social workers. She maintains private liability insurance for her and her clients’ safety. Zoë does not have a medical background. She does not normally provide hands-on caregiving such as toileting or bathing, or cooking meals. She is not a Caregiver, Care Partner or Care Manager. Her typical client is a person over 75 years old who is diagnosed with cognitive impairment, but she has also worked with adult clients with mental illness; with older adults who do not have any dementia diagnosis; with adults who suffered head trauma, and with artists and creative people of all ages.

Service Areas

Alameda, Albany, Berkeley, Danville, El Cerrito, Kensington, Lafayette, Oakland, Orinda, Piedmont, Point Richmond, Montclair, Point Richmond, Richmond, Rossmoor, San Pablo, San Leandro and Walnut Creek. Outings with clients are usually conducted in the East Bay but may also include trips to Marin County, San Francisco and other locations, upon request.