Helping Little Voices Find Their Way
Communication is about so much more than words. It’s how children connect, ask for help, share ideas, build relationships, participate in their world, and feel understood.
At Sprout + Thrive, our pediatric speech and language therapy is play-based, relationship-centered, and individualized to your child. We meet children where they are, build on their strengths and interests, and turn meaningful everyday interactions into opportunities for communication and growth.
Whether your child is just beginning to use words, is difficult to understand, has trouble expressing their ideas or understanding language, needs support navigating conversations and friendships, or has oral-motor or myofunctional concerns, we’re here to help.
Our approach includes parents as an important part of the therapy team so that new skills don’t stay in the therapy room—they become part of home, school, play, and everyday life.
Speech Therapy May Help If Your Child…
Isn’t talking as much as other children their age
Has difficulty combining words or forming sentences
Is hard for others to understand
Has difficulty following directions or understanding questions
Gets frustrated when trying to communicate
Has trouble telling stories or explaining what happened
Has difficulty with back-and-forth conversation or social communication
Stutters or has difficulty speaking smoothly
Is growing up with more than one language and you have questions about their communication development
Has concerns related to oral posture, tongue placement, mouth breathing, or other myofunctional skills
Support can start with a conversation. You don’t need to know exactly what your child needs before reaching out.
Better Together: OT + Speech Therapy
Children don’t develop skills in isolation. Communication, sensory regulation, motor skills, attention, play, and social connection all work together throughout a child’s day.
Having Occupational Therapy and Speech Therapy in the same clinic allows our therapists to collaborate, share observations, and work toward connected goals rather than treating each area separately. This creates better continuity of care for your child—and less work for families trying to coordinate between multiple providers.
For children receiving both OT and Speech Therapy at Sprout + Thrive, this can mean more consistent strategies, better carryover between sessions, and a team that sees and supports the whole child.
One child. One family. One collaborative team.
Rossana Ramires, M.SLP, CCC-SLP, CB-SLP, OMTS
Speech-Language Pathologist
Rossana is a dedicated and compassionate speech‑language pathologist with more than 20 years of experience supporting pediatric, adult, and geriatric clients across school, private practice, and university clinic settings. She is skilled in evaluating and treating a wide range of communication disorders and has served as a clinical educator, lecturer, and researcher; bringing a broad, deeply informed perspective to her clinical work.
Rossana’s therapy style is warm, relational, and grounded in meaningful partnership with families. She combines clinical expertise with a deep commitment to culturally responsive care, ensuring that every client and family feels understood, supported, and empowered. With empathy and clarity, she partners with families as valued collaborators in the therapeutic process, helping progress extend beyond the therapy room and into daily routines.
Her practice is rooted in teamwork and in treatment plans that honor each client’s unique strengths, challenges, and goals. Her clinical expertise includes speech and language disorders, pragmatics and social communication, orofacial and craniofacial development and function, orofacial myofunctional disorders, and the influence of bilingualism on language development. Rossana provides services in English, Portuguese, and Spanish.
Outside of her professional life, Rossana enjoys spending time with her husband, their two sons, and their beloved toy poodle, cooking together, going to concerts, exploring the Pacific Northwest, or traveling as a family.
Why I love Speech Therapy
What Rossana loves most about Speech Therapy is the opportunity to make a meaningful difference in people’s lives. Helping clients communicate more effectively, and watching that improvement ripple into their confidence, relationships, and daily participation, is incredibly rewarding. Speech therapy goes far beyond building a skill; it’s about opening doors, strengthening connections, and supporting each person’s ability to fully engage in their world. I value the collaborative nature of this work, partnering with families and other professionals, and honoring every client’s cultural and linguistic background as an essential part of their communication journey. Being a speech‑language pathologist is deeply fulfilling, and I’m grateful for the chance to work with such diverse ages, abilities, and disorders. There is always something new to learn, and that constant growth keeps the work inspiring and meaningful.
Some of Rossana’s favorite things:
- Speech, Language and Social Communication Disorders
- Bilingualism
- Early intervention
- Neurodiversity
- Orofacial Myofunctional Disorders
