Mia Caraganis, CCC-SLP, Owner/Lead Therapist is the owner and lead therapist of Small World Therapy. Mia grew up in Finland in a bilingual household speaking Finnish and English, and specializes in bilingual speech and language development. She received her Master of Arts in Speech-Language Pathology at the University of Helsinki in 2006, and has experience working in hospitals, public schools, preschools and in the home setting.  She speaks Finnish to her own children, English to her husband, and Spanish to most of her clients. Mia also speaks French, Swedish, and a little Estonian. She enjoys working with children with developmental and language delays; speech and oral motor issues; stuttering; children on the autism spectrum; and working with children who are just beginning to learn early co-operation and behavior skills. Mia has spoken at numerous conferences and maintains a broad network in the speech therapy community.

Macie Bell, Office Manager, is the newest member of our team. Originally from Goldsboro, NC, she graduated from UNC-Chapel Hill in January 2018. While attending university, Macie participated in several student organizations advocating for underserved communities. She also immersed herself in Latin culture during a foreign exchange semester in the fall of 2016 in Quito, Ecuador. Macie enjoys the sun, cooking (and eating), reading, and modeling. Macie's apple head chihuahua, Gypsy, keeps watch and likes to nap in her lap while she is working.   

Crystal Estrada, SLP-Assistant, graduated with honors from Fayetteville Technical Community College with an Associates Degree in Applied Science Speech Language Pathology Assistant and an Associates Degree in General Education in May 2007. Crystal has been working since graduation as a bilingual therapist in the private practice setting with children ranging from 15 months to 10 years old. She gained experience in articulation/phonology, expressive/receptive language, learning disabilities, down syndrome, and autism spectrum disorders.

Rachel Fann, CF-SLP, is a North Carolina native who grew up near Asheville, NC before moving to Chapel Hill to complete her Master’s degree in Speech-Language Pathology at UNC. After graduating in 2013, she took some time off to care for her five young children and spend lots of time exploring the great outdoors. Rachel has experience working with children with a variety of speech and language disorders. She is especially interested in helping families overcome early feeding challenges and understands firsthand how hard those early days can be with a baby who can’t eat.

Elizabeth Gregory, CCC-SLP, graduated from North Carolina Central University with a Master of Education in Communication Disorders on the Bilingual Tract. Her experience in speech-language pathology ranges from early intervention through geriatrics.  Elizabeth has provided therapy in Spanish and English for children in home settings, daycares, preschools, elementary schools, and clinic settings.  She has evaluated and treated children with delays and disorders including autism, articulation and phonology, language, stuttering, apraxia of speech, hearing impairment, and Down syndrome.

Natalie Hernandez Smith, CCC-SLP, is a bilingual SLP and received her masters degree in Speech-Language Pathology from Nazareth College in Rochester, NY, in 2012. She also obtained an Initial Certification for New York State Teacher of Students with Speech and Language Disabilities and a Bilingual (Spanish) Education Extension Certification. Natalie completed her clinical fellowship year working with children in schools, preschools, daycares, and home settings, and has since provided speech services exclusively in the private sector.

Sharon Hocker, CCC-SLP, earned her Master of Arts degree in Speech Language Pathology from Edinboro University in Pennsylvania in 2007. She has worked as a speech therapist in North Carolina since her graduation in various clinical settings including the public schools, early intervention, home health, and childcare centers. Sharon is experienced in the evaluation and treatment of voice, articulation, expressive and receptive language disorders, fluency, cognitive disorders, and autism spectrum disorders in the pediatric population. 

Heather Miller, CCC-SLP, is an English-speaking SLP. She grew up in North Carolina and attended UNC-Chapel Hill for her undergraduate degree in Communication Studies with a concentration in Speech and Hearing Sciences. She graduated from Appalachian State University with her Master’s Degree in Communication Sciences and Disorders. She has clinical experience in public schools, daycares, and home health settings serving preschool and school-aged children with a variety of speech and language disorders. 

Lucia Pasquel Lefebvre, CCC-SLP, is a multilingual SLP and has been practicing speech-language pathologist since 2000. She is fluent in English, Spanish, and French, and has worked in the US, France and Singapore. Lucia has specialized training in PROMPT; oral-motor, feeding/swallowing, phonological & articulation, and language disorders; as well as social-cognitive deficits and autism.

Lanif Lopez, CCC-SLP, is a Spanish Bilingual Pediatric speech therapist who grew up in New York City in a Spanish speaking household with Puerto Rican and Dominican heritage. Lanif received her Master of Arts in Speech Language Pathology from Lehman College City University of New York in 1998. Over the years, Lanif has worked in a variety of clinical settings, including acute rehabilitation, public/private school districts, outpatient care, and private practice.  In 2012, she moved to North Carolina where she continues to work with clients with developmental delays, speech and oral motor issues, childhood apraxia of speech, pragmatic deficits, regulation deficits, and those on the autism spectrum. In addition to her passion for all things related to speech, language and social development Lanif has a passion for cooking and entertaining.  She used to play the cello in High School and has since started taking lessons again.  She is currently planning her first garden with hopes to enjoy a “farm to table” experience with her teenage children.

Kim Rice, CCC-SLP, is an English-speaking SLP who received her masters degree from UNC-Chapel Hill in 2008 and has worked exclusively in pediatrics since her graduation. She has 6 years of professional experience in a variety of settings including homes, schools, preschools, and daycares. Kim has experience with apraxia, phonological disorders, fluency disorders, children on the autism spectrum, and children with language delays.

Inmaculada Simancas, CCC-SLP, is a bilingual SLP-Assistant. She received Bachelor’s Degree in Speech-Language Pathology from University or La Laguna and Master’s Degree in Music Therapy from Catholic University of Valencia, Spain. Since graduating in Spain in 2011, she has worked in Madrid and in the Canary Islands in private and hospital settings. Upon moving to the US, Inma completed her Associate’s Degree in May of 2016 at Fayetteville Technical Community College to practice here as a Speech-Language Pathology-Assistant. She has worked in private practice in the US and has experience with phonological disorders, fluency disorders, voice disorders, children on the autism spectrum, children with speech and language delays, and children with cerebral palsy.

Julia Tuttle, CCC-SLP, is a bilingual SLP and received a Bachelor’s degrees in Speech and Hearing Sciences and Spanish at the State University of New York at Cortland. She then received her Master’s degree in Communication Disorders from North Carolina Central University where she also completed a bilingual Spanish track. Julia has clinical experience evaluating and providing treatment in English and Spanish for children with expressive and receptive language disorders, articulation and phonological disorders, apraxia, developmental delays, autism spectrum disorder, stuttering, and voice disorders.

Marguerite Waugh, CCC-SLP, is a bilingual SLP and received her masters degree in Speech-Language Pathology from UNC-Chapel Hill in 2008. Since graduating, she has worked in private practices in Chatham, Lee and Orange counties. She is experienced in providing therapy in Spanish for children with speech and language disorders/delays, and provides therapy for children with feeding and swallowing issues. 

Erica Williams, CCC-SLP, is a bilingual SLP and received a B.A. in English from North Carolina State University, as well as a masters degree in Communication Disorders from North Carolina Central University in 2011. Since graduating, Erica has worked in various clinical settings including the NC Public School System, private practice, home health, and day cares. Her clinical experience includes evaluating, diagnosing and treating children with a variety of diagnoses including expressive-receptive language disorders, articulation and phonological processing disorders, Autism Spectrum Disorders, Down syndrome, fluency disorders, social language disorders, and apraxia.