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 orofacial myofunctional training includes: Feed the Peds® The Foundations of Pediatric Feeding and Swallowing (40 Contact Hours) Simon Says Myo Program Introduction to Orofacial Myofunctional Therapy Assessment of Orofacial Myofunctional Disorders ​Thumb & Finger Sucking Support Program Tongue 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.

I primarily work with children who are able to actively participate in structured, oral motor-based therapeutic activities. This often begins around age 4 and up, though readiness is more important than age alone. Younger children may still benefit from a modified oral-motor approach focused on foundational skills through play-based approaches. We can work together to see what approach is best for your child!

Myofunctional therapy may support children who experience: Mouth breathing or open-mouth posture Thumb sucking, finger sucking, or prolonged pacifier use Snoring or restless sleep patterns (sleep apnea) Feeding, chewing or swallowing challenge

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

My services are private pay only. An evaluation is $275 and subsequent sessions are $175 per 45-60 minute sessions. Upon request, I can provide a superbill that families may submit to their insurance for potential out-of-network reimbursement. Coverage varies by plan.

A typical myofunctional therapy program is around 12 sessions. However, every child is different, and the total number of sessions depends on individual needs, goals, and response to intervention. Some children may progress more quickly, while others may benefit from a longer or more gradual approach to support lasting, functional change.

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 in and around Mercer County, NJ. If you are outside the immediate area and interested in services, we can arrange to meet in a convenient community setting such as libraries, parks, or play spaces. At this time, I do not operate from a brick-and-mortar clinic.