San Diego Psychological Association Fellow Katherine Di Francesca, PhD anchors the Di Francesca & Friedman psychotherapy office at 3821 Front Street in Hillcrest, a long-running independent doctoral practice she runs with co-principal Meredith L. Friedman, PhD. The Front Street suite shares its building with Hillcrest Psychological Associates, a colocation that supports informal doctoral-level case consultation across the floor and feeds the broader 92103 PhD-level psychotherapy corridor. Clinical work focuses on adult individual psychotherapy, relationship assessment, and life-transition cases rather than acute psychiatric stabilization or medication management. Hearing-loss and cochlear implant adjustment cases requiring medical-psychology context are routed within the same building to Carren J. Stika, PhD, whose research line on hearing-impaired adult populations covers the somatic-medical psychotherapy niche. Insurance handling is built around private-pay and select PPO out-of-network reimbursement, consistent with the long-form insight-oriented model rather than HMO short-course treatment. The most complex assignments involve sustained insight-oriented psychotherapy for adults navigating compounded grief, identity reorganization, and chronic illness adaptation.