I am a bilingual speech-language pathologist who speaks Spanish and English, and I completed advanced training in Dynamic Temporal Tactile Cuing (DTTC). I take a child-centered approach in all assessments and therapy sessions. Initially, our treatment with your child may be play-based with targeted items to help gather information about how they spontaneously produce speech, to build their trust and rapport, and to determine what multisensory cues may support them. Over time, we build their skills in participating in modified drills of target words that we practice together, closely, at a low table, with support such as us saying or mouthing the words together, and eventually building their abilities to produce the words on their own. I frequently implement multimodal communication strategies as a component of our therapy together, such as modeling signs and use of iPads with voice-output apps on them, to help each child functionally communicate while we work on speech movement patterns.