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Palo Alto, CA

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2 Local Dementia Care Specialists
8 Virtual Dementia Care Specialists
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10 Dementia Care Specialists Serving Palo Alto, CA

2 dementia care specialists offer in-person sessions in Palo Alto, CA, and many more are available online. Compare profiles, specialties, and pricing — see real-time availability and book, or message a provider directly.

Last updated 9-28-26

Find Dementia Care Specialists Serving Palo Alto, CA

Compare dementia care specialists serving Palo Alto

2 Local Dementia Care Specialists
8 Virtual Dementia Care Specialists
0 Near Palo Alto, CA

Dementia Care Specialists in Palo Alto, CA

2 available

Book in-person sessions with dementia care specialists based in Palo Alto.

HAYWARD CA US Comprehensive Nursing Assessment, Wellness Testing, Consulting and Coaching
Joan Lu
BSN, RN, PHN, BC-FMP, Functional Medicine RN Consultant, Geriatric Nurse Case Manager, Public Health Nurse
Sofia Verified
Serves HAYWARD, CA Free intro consult Virtual available

Joan Lu, BSN, RN, PHN, BC-FMP is a Registered Nurse and a Public Health Nurse in the State of Calif… Read bio

BSN, RN, PHN, BC-FMPFunctional Medicine RN ConsultantGeriatric Nurse Case ManagerPublic Health Nurse Functional Medicine PractitionerFunctional Medicine DoctorHolistic HealthHolistic MedicineNutrition CounselingBehavioral Health CounselingSocial Anxiety TherapyMental WellnessFunctional NutritionistStress CounselingMindset CoachAnxiety CoachTrauma ClassGoal SettingVisualization TechniqueStress CoachChronic Fatigue SpecialistJoint Pain SpecialistInsomniaNurseDigestive IssuesGut HealthNurse PractitionerDementia Care

Next available on Mon, Sep 28

Mon Sep 28 1 appts
Tue Sep 29 3 appts
Wed Sep 30 3 appts
Thu Oct 1 3 appts
Fri Oct 2 3 appts
Sat Oct 3 3 appts
Sun Oct 4 No appts
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Los Gatos CA US Initial Consultation on Qi GongIntroduction to Qi Gong Course
Leonard Shen
Doctor of Chinese Energetic Medicine, Buddhist Lama, Christian Mystical Priest, Former Chairman of the Board of two regulated financial services companies in the US and Canada and Fortune 100 senior executive
1015 bookings on Sofia Health
Sofia Verified
Serves Los Gatos, CA Free intro consult Virtual available

I have 40 years of energy arts experience, including a Doctorate in Chinese Energetic Medicine and… Read bio

Doctor of Chinese Energetic MedicineBuddhist LamaChristian Mystical PriestFormer Chairman of the Board of two regulated financial services companies in the US and Canada and Fortune 100 senior executive Meditation TeacherTai Chi InstructorQigong InstructorMeditationMeditation StudioBreathworkHolistic HealthMental Health CoachSleep TherapyMental Health TherapistMental WellnessQigongTai ChiFitness ClassObesity CareMindset CoachWomen's HealthRelaxation TechniqueGoal SettingVisualization TechniqueMindfulness ClassChinese MedicinePain ManagementDepression CounselingAnxiety TreatmentMens HealthMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorPelvic Pain SpecialistBack and Spine SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorVertigo DoctorDementia CarePTSD TreatmentPanic Disorder SpecialistWellness PractitionerEnergy BalancingImmune SupportOnline Fitness ClassBody PositivityPersonal Growth WorkshopExercise ClassEmotional WellnessBreathing Exercise

Next available on Wed, Sep 30

Mon Sep 28 No appts
Tue Sep 29 No appts
Wed Sep 30 11 appts
Thu Oct 1 17 appts
Fri Oct 2 17 appts
Sat Oct 3 No appts
Sun Oct 4 12 appts
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View all dementia care specialists in Palo Alto, CA →

Online Dementia Care Specialists Serving Palo Alto, CA

8 available

Meet with experienced dementia care specialists who serve clients in Palo Alto through virtual appointments.

Ridgecrest CA US 30-Minute Therapeutic Treatment Tailored to Your Unique Energetic Patterns45-Minute Therapeutic Treatment Tailored to Your Unique Energetic Patterns60-Minute Therapeutic Treatment Tailored to Your Unique Energetic Patterns75-Minute Therapeutic Treatment Tailored to Your Unique Energetic Patterns90-Minute Therapeutic Treatment Tailored to Your Unique Energetic Patterns
Cindy Fatura
Energy Healer | Chinese Medicine Practitioner | Medical Qigong Master
381 bookings on Sofia Health
Sofia Verified
Serves Ridgecrest, CA Free intro consult Virtual available

Welcome to Effective Deep Healing / Tranquil Treatments! Clients say: "...permanently changed m… Read bio

Energy Healer | Chinese Medicine Practitioner | Medical Qigong Master Reiki MasterAromatherapistChakra HealerNaturopathic DoctorEnergy HealerShamanSound HealerAnxiety TherapistReikiHealerIntuitive HealerQigong InstructorVirtual Energy HealerHolistic HealthMental Health CoachHolistic MedicineSleep TherapyMental Health TherapistSpiritual CleansingAlternative Health DoctorMental WellnessQigongTai ChiObesity CareStress CounselingSelf Esteem CoachGrief Recovery SpecialistSpiritual MentorMindset CoachWomen's HealthAnxiety CoachTrauma ClassIntegrative HealthRelaxation TechniqueGoal SettingVisualization TechniqueMindfulness ClassLiver SupportPCOS SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachMenopause SpecialistInflammation SpecialistPMS SpecialistGut Health SpecialistHormone SpecialistAdrenal Gland SpecialistEnergy CoachBrain Fog SpecialistADHD SpecialistJoint Pain SpecialistGout SpecialistHolistic DoctorEndometriosis SpecialistDepression TherapistDigestive Health SpecialistInsomniaSleep DoctorIBS SpecialistChinese MedicineFibromyalgia SpecialistOsteoporosis SpecialistDigestive IssuesBlood Pressure SpecialistStress Management ClassWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthMens HealthMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistBack and Spine SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorVertigo DoctorDementia CarePTSD TreatmentPanic Disorder SpecialistWellness PractitionerHolistic HealerSpiritual WellnessEnergy BalancingHolistic Health PractitionerSelf CareSkin CareImmune SupportBody PositivityPersonal Growth WorkshopExercise ClassEmotional WellnessBreathing Exercise

Next available on Tue, Sep 29

Mon Sep 28 No appts
Tue Sep 29 1 appts
Wed Sep 30 1 appts
Thu Oct 1 1 appts
Fri Oct 2 No appts
Sat Oct 3 9 appts
Sun Oct 4 9 appts
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Durham NC US Initial Consult
Erica Jones
Holistic Health Practitioner, Resilience Subject Matter Expert
Sofia Verified
Serves Durham, NC Free intro consult Virtual available

Welcome to Metanoia Wholistic Haven where Erica takes a therapeutic intuitive approach to healthy h… Read bio

Holistic Health PractitionerResilience Subject Matter Expert Holistic Health CoachAnxiety TherapistHealth and Wellness CoachHolistic HealthMental Health CoachManifestation CoachSleep TherapyMental Health TherapistWeight Loss CoachMental WellnessObesity CareAnger Management ClassStress CounselingSelf Esteem CoachMindset CoachWomen's HealthAnxiety CoachTrauma ClassGoal SettingLiver SupportAutoimmune SpecialistPCOS SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachAcne SpecialistMenopause SpecialistThyroid SpecialistLyme Disease SpecialistInflammation SpecialistPMS SpecialistHormone SpecialistBrain Fog SpecialistJoint Pain SpecialistGout SpecialistHolistic DoctorAnemia SpecialistEndometriosis SpecialistDepression TherapistSkin Health SpecialistLiver Cleanse SpecialistDigestive Health SpecialistInsomniaSleep DoctorIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorFibromyalgia SpecialistLupus SpecialistOsteoporosis SpecialistChronic Pain SpecialistCeliac Disease SpecialistDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistColitis SpecialistCrohn's SpecialistCholesterol SpecialistCancer SpecialistBlood Pressure SpecialistHeart Health SpecialistRenal SpecialistAutoimmune Disease DoctorStress Management ClassConstipation DoctorHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentIrregular PeriodsPost Birth Control SyndromeMens HealthMetabolic SpecialistMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorCarpal Tunnel DoctorPinched Nerve SpecialistTMJ SpecialistVertigo DoctorDementia CarePTSD TreatmentPanic Disorder SpecialistWellness PractitionerHormone Balancing DoctorsHolistic Health PractitionerSelf CareSkin CareImmune SupportBody PositivityPersonal Growth WorkshopEmotional Wellness

No availability this week

Mon Sep 28 No appts
Tue Sep 29 No appts
Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
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Green Bay WI US Group Qigong F.I.T. Functional Integrated TrainingInitial ConsultationQigong F.I.T. Mindful ExerciseQigong For Health (Meditation)Strength and Mobility Training
Heidi Gillis
Tai Chi, Qigong, Personal Fitness Trainer for Active Agers
2 bookings on Sofia Health
Sofia Verified
Serves Green Bay, WI Virtual available

Heidi L Gillis is certified as a Personal Fitness Trainer (W.I.T.S.) & Licensed Physical Therapist… Read bio

Tai Chi, Qigong, Personal Fitness Trainer for Active Agers Personal TrainerSenior Fitness TrainerPersonal CoachTai Chi InstructorQigong InstructorFitness CoachPrivate Personal TrainerIn Home Personal TrainerPersonal Trainer for WomenGym TrainerMental Health CoachSleep TherapyMental Health TherapistPhysical TherapySports Physical TherapyWeight Loss CoachMental WellnessQigongTai ChiStrength Training for WomenFitness ClassObesity CareMindset CoachGoal SettingChronic Fatigue SpecialistBrain Fog SpecialistJoint Pain SpecialistInsomniaOsteoporosis SpecialistChronic Pain SpecialistDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistCholesterol SpecialistBlood Pressure SpecialistStress Management ClassWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementAnxiety TreatmentIrregular PeriodsFrozen ShoulderMuscle BuildingWeight TrainingMens HealthEndurance TrainingMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistBack and Spine SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorCarpal Tunnel DoctorPinched Nerve SpecialistTMJ SpecialistVertigo DoctorNeuro RehabilitationDementia CarePTSD TreatmentWellness PractitionerSpiritual WellnessSelf CareImmune SupportOnline Fitness ClassBody PositivityPersonal Growth WorkshopExercise ClassBreathing Exercise

Next available on Tue, Sep 29

Mon Sep 28 No appts
Tue Sep 29 8 appts
Wed Sep 30 14 appts
Thu Oct 1 11 appts
Fri Oct 2 12 appts
Sat Oct 3 No appts
Sun Oct 4 No appts
More

FORT POLK LOUISIANA US 12 Months Package - 48 sessions12 Sessions1:1 Session to Learn New Cooking Techniques4 SessionsAre unpredictable schedules causing you anxiety? Learn why they matter
Manda Lynn McVey
Holistic Nutrition Wellness Practitioner, Behavior Change Specialist, Fitness Nutrition Speciaist, Spouse Master Resilience Trainer, Yoga Instructor, Meditation Instructor, Weight Loss Specialist, Plant-Based Diet Educator
170 bookings on Sofia Health
Sofia Verified
Serves FORT POLK, LOUISIANA Free intro consult Virtual available

Welcome to Wellsilience As an Army wife, familiar with juggling the uncertainty of military life… Read bio

Holistic Nutrition Wellness PractitionerBehavior Change SpecialistFitness Nutrition SpeciaistSpouse Master Resilience TrainerYoga InstructorMeditation InstructorWeight Loss SpecialistPlant-Based Diet Educator Yoga InstructorWellness CoachNutrition ConsultantNutrition CoachNutritional TherapistHealth and Wellness CoachPersonal CoachMeditation TeacherFitness CoachPrivate Yoga InstructorMeditationMeditation StudioBreathworkHolistic HealthMental Health CoachVinyasa YogaPrenatal YogaHatha YogaHot YogaBikram YogaAerial YogaRaja YogaBeginner YogaYoga ClassAshtanga YogaPostnatal YogaAshtanga FlowNutrition CounselingChristian Premarital CounselingSocial Anxiety TherapyGrief CoachSleep TherapyMental Health TherapistWeight Loss CoachMental WellnessFitness ClassObesity CareAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachTrauma ClassRelaxation TechniqueGoal SettingVisualization TechniqueMindfulness ClassStress CoachChronic Fatigue SpecialistSleep CoachBrain Fog SpecialistJoint Pain SpecialistDepression TherapistResilience CoachYoga NidraTrauma Informed YogaInsomniaSleep DoctorWeight Loss ProgramOsteoporosis SpecialistNutrition TherapyMindful EatingEating Disorder TreatmentDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistBlood Pressure SpecialistMeal PlansVegan DietVegetarian DietStress Management ClassWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentIrregular PeriodsMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistBack and Spine SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorCarpal Tunnel DoctorPinched Nerve SpecialistTMJ SpecialistVertigo DoctorNeuro RehabilitationDementia CareiRest Yoga NidraPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSpiritual WellnessSelf CareImmune SupportBody PositivityPersonal Growth WorkshopExercise ClassEmotional WellnessBreathing ExerciseFitness Nutrition Coach

Next available on Tue, Sep 29

Mon Sep 28 No appts
Tue Sep 29 10 appts
Wed Sep 30 10 appts
Thu Oct 1 16 appts
Fri Oct 2 13 appts
Sat Oct 3 No appts
Sun Oct 4 No appts
More

View all virtual dementia care specialists →

Clients trust Sofia Health

★★★★★
Finding the right provider was simple, and booking my appointment took just a few minutes. The whole experience felt easy from start to finish.

— Amanda K.
★★★★★
I loved being able to compare different providers and find someone who matched what I was looking for. Sofia Health made the process so much easier.

— Danielle M.
★★★★★
Everything was straightforward—from finding a provider to scheduling my appointment. I’ll definitely use Sofia Health again.

— Jordan T.

Frequently Asked Questions

How can I make a same-day appointment with a Dementia Care in Palo Alto?

Same day appointments are available with many Dementia Care Specialists. For the most part, clients who use Sofia to search for a Dementia Care in Palo Alto can schedule an appointment and see the Dementia Care within 24 hours. You can search for real-time availability of Dementia Care Specialists in Palo Alto and make an appointment online today.

How can I book an appointment online with a Dementia Care in Palo Alto?

Sofia is a free online service that helps clients find Dementia Care Specialists in Palo Alto and book appointments instantly. You can search for Palo Alto Dementia Care Specialists by symptom, health goal or visit reason. You can explore Dementia Care services, book a virtual appointment, join group classes or schedule an initial consultation. 

How can I find a top-rated Dementia Care in Palo Alto?

You can use Sofia to find Dementia Care Specialists in Palo Alto who are highly rated. View each Dementia Care Specialists education, license and certification credentials. Watch their video introductions and book a virtual consultation see if they are a good fit for you.  

How can I schedule a virtual visit with a Dementia Care in Palo Alto?

Almost all Dementia Care Specialists in Palo Alto on Sofia have virtual visits available. Every Dementia Care can be scheduled online for either in-person or virtual appointments. When you book your session, choose in person or online.  

How can I find a Palo Alto Dementia Care who sees clients after hours?

On Sofia, you can search specifically for Palo Alto Dementia Care Specialists with availability after normal business hours.

How can I find same day appointments near me for Dementia Care Specialists in Palo Alto?

Sofia lets you see real-time availability for Dementia Care Specialists in Palo Alto. Many Dementia Care Specialists offer same day appointments.  

How can I find a Dementia Care in Palo Alto who sees clients during the weekend?

Sofia let's you see real-time availability for Dementia Care Specialists in Palo Alto. Many Dementia Care Specialists offer appointments on Saturdays and Sundays.

How can I find group classes near me from Dementia Care Specialists in Palo Alto?

Sofia lets you search for live group classes from the leading Dementia Care Specialists. You can sign up for individual virtual group classes from Dementia Care Specialists today or you can purchase a membership to Sofia Prime for access to unlimited monthly classes.

How can I search for Dementia Care products in Palo Alto?

Sofia lets you shop for Dementia Care Specialists products. You can shop health and wellness products from the Sofia Marketplace or go to your favorite Dementia Care Specialists page directly. 

How can I find live classes near me with Dementia Care Specialists in Palo Alto?

Sofia lets you take live classes from leading Dementia Care Specialists. You can sign up for virtual group classes from Dementia Care Specialists today.

Where can I find a licensed and credentialed Dementia Care near me in Palo Alto?

Sofia lets you search for educated, licensed, and credentialed Dementia Care Specialists professionals. You can ensure you are booking with the right Dementia Care for you based on credentials, language, and more.

Frequently asked questions

 

 

Palo Alto, CA

 

Palo Alto is a charter city in the northwestern corner of Santa Clara County, California, United States, in the San Francisco Bay Area, named after a coastal redwood tree known as El Palo Alto.

The city of Palo Alto was established in 1894 by the American industrialist Leland Stanford when he founded Stanford University in memory of his son, Leland Stanford Jr. Palo Alto later expanded and now borders East Palo Alto, Mountain View, Los Altos, Los Altos Hills, Stanford, Portola Valley, and Menlo Park. At the 2020 census, the population was 68,572. Palo Alto is one of the most expensive cities in the United States in which to live, and its residents are among the most educated in the country. However, it also has a youth suicide rate four times higher than the national average, often attributed to academic pressure.

As one of the principal cities of Silicon Valley, Palo Alto is home to the headquarters of multiple tech companies, including HP, Space Systems/Loral, VMware, and PARC. Palo Alto has also served as headquarters or the founding location of several other tech companies, including Apple, Google, Facebook, Logitech, Tesla, Intuit, IDEO, Pinterest, and PayPal; Ford Motor Company and Lockheed Martin each additionally maintain major research and technology facilities within Palo Alto.

Palo Alto lies in the southeastern section of the San Francisco Peninsula.

It consists of two large parcels of land connected by a narrow corridor. The southern inland section, located south of Interstate 280, is hilly, rural, and lightly populated and is the site of Pearson–Arastradero Preserve and Foothills Park both part of the Palo Alto park system and also large parts of the Los Trancos and Monte Bello Open Space Preserves part of the Midpeninsula Regional Open Space District. The city extends as far as Skyline Boulevard along the ridge of the Santa Cruz Mountains.

The northern more densely populated parcel is bordered by San Francisquito Creek (with Menlo Park and East Palo Alto in adjacent San Mateo County beyond) to the north, San Francisco Bay to the north-east, Mountain View, Los Altos, and Los Altos Hills to the east and south-east and Stanford University to the south-west and west. Several major transit routes cross this parcel from the northwest to the southeast. The biggest and closest to the bay is the Bayshore Freeway and going inland are Alma Street/Central Expressway, El Camino Real, and Foothill Expressway. Interstate 280 is parallel and crosses the narrow corridor of land that connects the two parcels that make up Palo Alto. Somewhat perpendicular to these roads are Sand Hill Road from El Camino until it crosses San Francisquito Creek into Menlo Park, Embarcadero Road, Oregon Expressway/Page Mill Road, Arastradero Road/East Charleston Road, and San Antonio Road (the last forms part of the boundary with Mountain View).

According to the United States Census Bureau, the city has a total area of 25.8 square miles (67 km2), of which 23.9 square miles (62 km2) is land and 1.9 square miles (4.9 km2), comprising 7.38%, is water.

The official elevation is 30 feet (9 m) above sea level, but the city boundaries reach well into the northern section of the Santa Cruz Mountains.

Palo Alto focuses on health and wellness. Explore the parks, facilities, and programs offered by Palo Alto’s Recreation and Community Services Department. These spaces provide opportunities for outdoor activities such as walking, jogging, sports, and picnicking. Join local fitness centers and gyms to participate in exercise programs, fitness classes, and strength training. Some popular options include Equinox Fitness, University Club, and Orangetheory. Discover the walking and biking trails in and around  Palo Alto, such as the Baylands Nature Preserve and the Panorama Trail. These trails offer opportunities for outdoor exercise and enjoyment of nature.

 

The top sites in Palo Alto, CA are Cantor Arts Center at Stanford University, Shoreline Amphitheatre, and Baylands Nature Preserve.

 

ZIP Codes: 94306. Area code: 650. Elevation: 30 ft (9 m). Area: 25.8 square miles (67 km2). Population: 26.00 sq mi (67.35 km2).
 

FAQs

 

Is Palo Alto, CA expensive?

Palo Alto, California's cost of living is 48% higher than the national average. Palo Alto's housing expenses are 26% higher than the national average and the utility prices are 9% higher than the national average. Transportation expenses like bus fares and gas prices are 24% higher than the national average.

 

How did Palo Alto, CA get its name?

The city is named after a majestic 1,000-year-old coastal redwood tree along San Francisquito Creek, where early Spanish explorers once camped, and has grown alongside Stanford University for more than 125 years. Palo Alto is recognized as a global leader in cutting-edge technological development and is known as the "Birthplace of Silicon Valley.” This exciting mix of tradition and innovation makes Palo Alto an extraordinary destination for visitors.

 

Is Palo Alto, CA a good city to live in?

Palo Alto is in Santa Clara County and is one of the best places to live in California. Living in Palo Alto offers residents an urban suburban mix feel and most residents own their homes. In Palo Alto, there are a lot of restaurants, coffee shops, and parks. Many young professionals live in Palo Alto and residents tend to lean liberal.

 

Sources

Wikipedia

City of Palo Alto

Palo Alto’s Recreation and Community Services Department

Equinox Fitness

University Club 

Orangetheory

Baylands Nature Preserve 

Panorama Trail

Cantor Arts Center at Stanford University

Shoreline Amphitheatre

Baylands Nature Preserve

Payscale

CommunityStanford.edu

Niche

 

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete, or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 (in the United States) immediately.