Services
Areas of practice
Speech, language, cognition, and swallowing care for adults and older adults. Every plan of care is built around what matters in your week, not around a worksheet.
Aphasia & language after stroke
A stroke or brain injury can take away access to words while leaving the thinking behind them completely intact. That gap is frightening, and it is frequently mistaken for confusion by everyone around the person.
Therapy works on retrieving words, following conversation, and reading and writing as they are actually used at home. We also build in compensatory strategies for the moments a word will not arrive, so a conversation can keep going instead of stopping.
Stroke · TBI · Aphasia · Primary progressive aphasia
Cognitive-communication
Attention, organisation, memory, and getting started on a task. These are the skills that quietly govern whether someone can manage their own day.
Sessions focus on the practical systems that hold a week together: calendars, checklists, medication routines, and cues placed where they will actually be seen. We build them into the home you already live in rather than asking you to adopt someone else’s system.
Executive function · Attention · Memory
Swallowing
Coughing during meals, food that feels stuck, a slow retreat from foods that used to be easy. Mealtimes can become stressful for the whole table, and people often stop eating socially long before they mention it.
We assess what is happening during eating and drinking, adjust how food and liquid are managed, and practise safer, calmer patterns. Where imaging or a physician’s input is needed, I will say so and coordinate it.
Dysphagia · Diet texture · Mealtime safety
Speech clarity & voice
Motor speech changes arrive with Parkinson’s disease, stroke, ALS, and other neurological conditions. Volume drops, articulation blurs, and people begin to ask for repetitions.
The work targets being understood the first time, at a volume that carries across a room, with strategies that hold up when you are tired at the end of the day.
Dysarthria · Apraxia of speech · Voice
Dementia support
Communication strategies matched to the stage your person is actually at right now, not to a stage they passed two years ago or have not reached yet.
Much of this work is taught to the people around them — spouses, adult children, paid caregivers. The aim is smoother days, fewer stand-offs, and preserved participation in the parts of life that still bring pleasure.
Caregiver training · Environmental strategies
Teletherapy
Secure video sessions for anyone living in California or Florida, the two states where I hold a current license.
Teletherapy suits language, cognition, and voice work particularly well, and it removes the drive from your week. Swallowing concerns are usually better assessed in person, and I will tell you plainly which is appropriate for your situation.
California & Florida
Where sessions happen. Home visits are available in Hollywood, West Hollywood, Beverly Hills, Westwood, Bel-Air, and Brentwood. Teletherapy is available anywhere in California and Florida.
Referrals come from physicians, case managers, and facilities, and families are equally welcome to reach out directly. No referral is needed to make the first call.
Getting started
How it works
Call or text
Tell me what you are noticing. The first conversation costs nothing, and if speech therapy is not the right answer I will point you somewhere better.
Evaluation
At your home or by video. I assess what is needed, then we agree on goals that matter in daily life rather than goals that only matter on paper.
Weekly practice
One-hour sessions, usually once or twice weekly, with home practice between. Goals are revisited as things change.
Start with a conversation
Tell me what you are noticing. I will tell you honestly whether an evaluation would help, and we will talk through options and fees once I understand what you need.