I am a licensed Occupational Therapist (OTR/L) with specialized training in pediatric feeding, oral-motor development, and orofacial myofunctional therapy. My work integrates these areas with a strong foundation in sensory processing, regulation, and child development.My advanced training includes: Feed the Peds®The Foundations of Pediatric Feeding and Swallowing (40 Contact Hours)Specialized training in infant and toddler feeding, oral development, tongue ties, and myofunctional therapySimon Says Myo ProgramIntroduction to Orofacial Myofunctional TherapyAssessment of Orofacial Myofunctional Disorders​Thumb & Finger Sucking Support ProgramTongue Tips Myofunctional Program (Ages 4+)Tiny Tongue Tips Myofunctional Program (Ages 3-6)TalkTools®MYOSolutions: SysteMatic Intervention for Lingual Elevation I continue to pursue advanced education in airway-related oral function, feeding development, and myofunctional approaches to ensure my practice reflects current, evidence-informed care.

From infants through childhood, we use a whole-child, play-based approach to oral motor, feeding, and myofunctional needs. Infant and early childhood feeding and oral motor support: For babies and young children, we focus on foundational oral motor and feeding development. Families often come to us for difficulty with bottle or breastfeeding, challenges transitioning to solids, picky eating, texture aversions, or difficulty chewing and managing foods safely and efficiently. We also support concerns such as drooling, oral motor delays, and early sensory-based feeding challenges. In this stage, therapy is play-based and centered on building comfort, coordination, and functional feeding skills through developmentally appropriate activities. Orofacial myofunctional therapy (typically age 4+): As children grow, we may transition into more structured myofunctional therapy, which is generally best suited for children around age 4 and older who are able to actively participate in guided oral motor exercises. Readiness matters more than age alone. Families often seek this support for mouth breathing, open mouth posture at rest, tongue thrust, tongue tie concerns, or challenges with oral rest posture and coordination. Across both areas, we frequently support related concerns such as airway issues including enlarged adenoids or chronic ear fluid, postural or sensory differences that impact mealtimes, and pre or post tongue or lip tie release support. We take a whole-child approach, considering breathing, posture, sensory processing, and oral function together so that skills are meaningful and carry over into daily life.

Mouth breathing or open-mouth postureThumb sucking, finger sucking, or prolonged pacifier useSnoring or restless sleep patterns (sleep apnea)Feeding, chewing or swallowing challengeTransition to solidsAirway concerns, difficulty nasal breathingSensory challenges at mealtimesBedwetting beyond age appropriate

We begin with a myofunctional assessment to understand your child’s strengths, challenges, and underlying patterns. From there, we create a personalized plan that fits your child and your family’s daily life. If you’re unsure whether your child is a good fit, you’re welcome to reach out and we can talk it through, liz@tinytotsbigsenses.com

At this time, there is no waitlist for services. Because I work one-on-one with each child and family, I intentionally keep my caseload small to provide individualized care. As a result, after-school and evening appointments tend to fill quickly.If a waitlist becomes necessary, I'll contact you as soon as an appointment becomes available. Wait times vary, but I'll keep you updated along the way.

All treatment plans are individualized to each family’s needs. That said, therapy sessions are typically 45-60 minutes long. This helps prevent fatigue that can come with longer sessions while still allowing time for hands-on work and parent education.

This is a private pay practice, which means your child's care is guided by their needs, not insurance requirements. My sessions are highly individualized and embedded into your family's daily life, with the flexibility to adjust our plan as your child grows. Between sessions, I'm available by email, phone, or virtual check-ins to answer questions, problem-solve, and keep you supported every step of the way. This level of communication and collaboration is included in my session fees.An initial evaluation is $275. Ongoing sessions are $165–185 for 45–60 minutes, with your session fee determined at the evaluation and remaining consistent unless you receive advance written notice of any changes.My fees reflect the personalized, one-on-one care I provide, along with the specialized training, mentorship, and continuing education I invest in to give your family the best care possible. After each session, you'll receive a superbill that you may submit to your insurance company for potential out-of-network reimbursement. Coverage varies by plan.

I use an integrated approach to oral motor and myofunctional therapy, which means there is no cookie-cutter program. Every child is different, and the number of sessions needed depends on your child's unique needs, goals, and response to therapy.Some children may make progress more quickly, while others benefit from a longer, more gradual approach to build lasting, functional change. I will make recommendations based on what I see, and we will adjust our plan along the way to best support your child and your family's lifestyle.Therapy should be therapeutic. It should feel supportive, empowering, and enjoyable, not like another task to check off the list.

Yes!! I love collaborating with other new or existing professionals of your care team! It is such an important part of myofunctional work! Depending on a child’s needs, I may recommend or coordinate care with other providers such as an ENT, pediatric dentist, orthodontist, or speech-language pathologist. In some cases, referral to another specialist may be an important first step before or alongside therapy to ensure we are addressing all underlying factors and participating in therapy safely and effectively.

I work with families throughout Mercer County, NJ and surrounding areas. Because I provide care in the environments where children naturally learn and grow, sessions may take place in your home or a community setting such as a library, park, or play space. For families located elsewhere in New Jersey, virtual sessions may also be an option depending on your child's needs and goals.At this time, I do not operate from a traditional clinic space. This allows me to bring therapy into your child's real world and support skills that carry over into everyday life.