Hi, I'm Dr. K Marie!
Pediatric Speech-Language Pathologist
Specializing in early communication development and orofacial
myofunctional therapy
English & Spanish | Telehealth
New York | California | Massachusetts | Texas | Wyoming
Explore Services
Sessions
Learn practical ways to support your child’s communication during everyday routines and play. Parents and caregivers are coached on language facilitation strategies that help encourage interaction, vocabulary development, and early phrase building—all through natural, meaningful moments at home.
Session Rates: 30-Minute Session — $80
Each session is individualized to your child’s communication needs and focuses on coaching parents to use practical language facilitation strategies during everyday routines and play.
Appropriate for kids 1-4 years old
Individualized, evidence-based speech and language therapy to help children develop the communication skills they need to express themselves, connect with others, and participate confidently in everyday activities.
Language Therapy
• Vocabulary Development: Expanding understanding and use of words, including nouns, verbs, adjectives, and descriptive concepts.• Utterance Length & Sentence Expansion: Increasing the length and complexity of phrases and sentences to support more effective communication.• Grammar & Sentence Structure: Developing appropriate use of pronouns, verb tenses, plurals, and sentence organization.• Receptive Language: Improving understanding of spoken language, following directions, identifying concepts, and processing information.• Expressive Language: Strengthening the ability to communicate wants, needs, ideas, thoughts, and experiences.• WH-Questions: Building skills in understanding and answering who, what, where, when, why, and how questions.• Narrative & Sequencing Skills: Developing the ability to describe events, retell stories, and organize information in a logical sequence.• Social Communication: Supporting conversational skills, turn-taking, topic maintenance, and appropriate communication across social situations.
Speech Sound and Articulation Therapy
•Articulation: Developing accurate production of individual speech sounds.•Phonological Disorders: Addressing patterns of speech sound errors that affect overall intelligibility.•Speech Sound Discrimination: Improving the ability to recognize and distinguish speech sounds.•Sound Production & Placement: Teaching appropriate tongue, lip, and jaw positioning for accurate speech sound production.•Speech Sound Generalization: Helping children carry newly learned sounds from structured practice into everyday conversations.•Speech Intelligibility: Improving overall clarity so children can communicate more effectively with family, peers, and others.
Session Rates: 30-Minute Session — $90
Appropriate for kids 4+ years old
Orofacial Myofunctional Support and Coaching
Parents and caregivers learn how to support healthy oral habits and reinforce skills addressed in therapy at home. Coaching may include education and individualized home strategies related to nasal breathing, oral resting posture, tongue placement, lip closure, chewing, swallowing patterns, and oral habits, based on your child’s needs.
Session Rates: 30-Minute Session — $87
Each session is individualized to your child’s needs and focuses on coaching parents to support healthy oral habits, including nasal breathing, oral resting posture, tongue placement, lip closure, chewing, and swallowing.
Appropriate for kids 2-4 years old
Individualized therapy addressing patterns involving the tongue, lips, jaw, breathing, oral rest posture, chewing, and swallowing. Through developmentally appropriate activities and exercises, therapy works toward improved oral function and more functional patterns that can carry over into everyday life.
We will address coordination, awareness, placement, resting posture, breathing, chewing, and swallowing patterns.
Session Rates: 30-Minute Session — $95
Each session is individualized to your child’s needs and provides direct therapy targeting oral function, including nasal breathing, oral resting posture, tongue placement, lip closure, chewing, and swallowing patterns.
Appropriate for kids 4.5/5+ years old
Evaluations
Evaluations provide a comprehensive look at your child’s strengths and areas of need. Following the evaluation, findings and recommendations are discussed with the family to help determine appropriate next steps.
Early Intervention Language Evaluation
Ages 1–3 | Approximately 60 Minutes — $300
A comprehensive evaluation of your young child’s early communication development.
The evaluation may examine receptive and expressive language, vocabulary, early phrase development, play skills, gestures, social communication, and functional communication during developmentally appropriate activities and caregiver interaction.
Parents will have an opportunity to discuss their concerns, their child’s developmental history, and communication skills observed at home.
Pediatric Orofacial Myofunctional Evaluation
Ages 4+ | Approximately 60 Minutes — $400
A comprehensive evaluation of your child’s oral structures and functional patterns.
Areas assessed may include:
• Oral resting posture
• Nasal versus mouth breathing patterns
• Tongue posture, placement, and mobility
• Lip closure and function
• Jaw movement and coordination
• Oral habits
• Chewing patterns
• Swallowing patterns
• Relevant speech characteristics
Medical, dental, feeding, airway, sleep, and developmental history may also be reviewed when relevant to your child’s concerns.
Recommendations are individualized based on the evaluation findings, and referrals to other professionals may be recommended when appropriate.
Comprehensive Speech-Language & Orofacial Myofunctional Evaluation
Ages 4+ | Approximately 90 Minutes — $600
A comprehensive evaluation for children who have concerns involving both communication skills and orofacial function.
This evaluation combines a speech-language assessment with an examination of your child’s orofacial patterns to provide a more complete understanding of how these areas may relate to your child’s functional needs.
Depending on your child’s concerns, the evaluation may examine speech sound production, receptive and expressive language, social communication, oral structures, tongue and lip function, oral resting posture, breathing patterns, chewing, swallowing, and oral habits.
Following the evaluation, findings are reviewed with the family and individualized recommendations are provided to help determine appropriate next steps.
Not sure which service is right for your child?
Every child’s needs are different. Schedule a consultation to discuss your concerns and determine which service or evaluation may be the best fit for your child.
Learn More...
Early communication develops throughout the day - not only during therapy. Parent coaching helps
families learn practical strategies to support their child's communication and language development during
play, mealtimes, books, daily routines, and other meaningful interactions.
Together, we'll identify opportunities to encourage communication while keeping interactions natural,
playful, and connected.
This may be a good fit if your child:
This may be a good fit if your child:
• Is using few words or has difficulty combining words
• Has difficulty expressing wants, needs, or ideas
• Needs support expanding vocabulary or phrases
• Has difficulty understanding or using language
• Would benefit from increased opportunities for communication
• Has a parent or caregiver who wants practical strategies to use at home
Learn More...
Orofacial myofunctional therapy focuses on the function and coordination of the lips, tongue, jaw, and
surrounding facial muscles.
Following an individualized assessment, therapy may address areas such as oral resting posture, lip
closure, tongue positioning and mobility, nasal breathing habits, swallowing patterns, and oral movements related to speech and function.
When appropriate, care may also involve collaboration with other professionals involved in your child's
care.
You may consider an evaluation if you notice:
• Open-mouth resting posture
• Difficulty maintaining lip closure at rest
• Forward or low tongue resting posture
• Tongue thrust during swallowing
• Mouth-breathing patterns
• Difficulty with age-appropriate tongue movements
• Oral habits affecting function
• Speech concerns that may be related to oral placement or function
Meet Dr. K Marie
Hi! I’m Dr. K Marie, a bilingual pediatric Speech-Language Pathologist and the founder of Speech & Wonder.I began my career in New York after earning my master’s degree in Speech-Language Pathology and have spent the past 10 years working with young children and their families, with extensive experience in early intervention and early communication development.Driven by my passion for supporting families beyond the therapy session, I went on to earn my doctorate in Speech-Language Pathology, with a focus on parent coaching and empowering caregivers to confidently support their child’s communication development in everyday life.My clinical work focuses on early communication development and pediatric orofacial myofunctional disorders. I have completed specialized training in myofunctional disorders and am currently pursuing certification in Orofacial Myofunctional Therapy to further expand my expertise in this area.I believe some of the most meaningful opportunities for development happen during ordinary moments—playing together, reading a favorite book, getting ready for the day, sharing a meal, or simply connecting as a family.My approach combines evidence-informed clinical care, family education, and practical strategies that can carry over into everyday life.
SLPD | CCC-SLP | Bilingual English/Spanish | Pediatric Speech-Language Pathologist
How It Works
Getting started is simple. We’ll guide you through each step so you can feel confident about your child’s care.
1. Schedule a Consultation
Start with a complimentary consultation to share your concerns, ask questions, and learn more about how Speech & Wonder can support your child.
2. Complete an Evaluation
If services are a good fit, we’ll schedule a comprehensive evaluation tailored to your child’s needs. The evaluation helps us understand your child’s strengths, identify areas that may need support, and determine appropriate recommendations.
3. Create a Personalized Plan
Following the evaluation, we’ll review the results together and develop an individualized plan with meaningful goals based on your child’s specific needs and your family’s priorities.
4. Begin Therapy
Your child will participate in engaging, evidence-based teletherapy sessions designed around their goals. Families are encouraged to be part of the process so strategies can carry over into everyday routines.
5. Grow Beyond the Session
Progress doesn’t stop when the session ends. You’ll receive practical strategies and guidance to help support your child’s communication skills at home and in daily life.
Ready to take the next step? Let's talk about how we can support your child.
Contact Dr. K Marie
Have a general question about Speech & Wonder or our services? Send me a message and I’ll get back to you.