Kieffer Monica DO is an osteopathic medicine practice in Encinitas serving patients of all ages, from infants to older adults. The practice emphasizes individualized, integrative care using hands-on osteopathic manipulative medicine (OMM), with nutritional recommendations and support incorporated when appropriate. In addition to osteopathic care, Monica Kieffer is a licensed Marriage and Family Therapist and offers individual, family, marriage, and child counseling, with an approach that considers physical, mental, and emotional aspects of health.