I cannot say enough wonderful things about Karen. She is incredibly knowledgeable and resourceful. She makes the activities fun and engaging. And most important of all she gets results. My son was under her care for a number of months over a course of a few years due to what we thought were nodules. She worked with him to help him develop strategies to minimize damage to his vocal cords. Ultimately he needed to have surgery for cysts on his vocal cords and once again Karen helped us navigate uncharted waters helping us find a fantastic surgeon who specialized in this surgery. The strategies he had learned while under her care were critical to his recovery. I would highly recommend Karen.