TOTS Training® Directory

I wish to update my new work location

Expert lactation and feeding support and education services for all families with an approachable, compassionate, and empowering approach to help you meet your goals and find satisfaction in your journey. Services are offered in-home and virtually.

We are a multifaceted pediatric dental practice located in League City,Texas. Our approach is shaped by our belief that patients deserve to be treated in an efficient manner with minimal post-operative discomfort as possible. In addition, we firmly believe that releases are a team approach and find the best success when therapy happens before and after these procedures. We use the state-of-the-art LightScalpel, a CO2 laser, which releases tethered oral tissues efficaciously and with less post-procedure pain or wound contraction compared with other types of lasers. If you have any questions, please e-mail or call and we would love to talk!

Speech-language therapy in Iowa and South Dakota! In person and via video chat.

Rachel Flynn graduated from Eastern Michigan University with her Master of Arts in Speech-Language Pathology in 2010.


Rachel specializes in treating feeding and swallowing across the lifespan and has completed training in the following treatment approaches:


DIR Floortime
Myofascial release and other manual techniques for dysphagia management
Kinesiology Taping Techniques for Swallowing Disorders
SPEAK OUT! Ⓡ speech therapy approach for individuals with Parkinson’s.
Beckman Oral Motor
Sequential Oral Sensory (SOS) Approach to Feeding with completion of advanced workshops in feeding the 6-16 month old child, effectively using the oral motor steps to eating and working with children with severe developmental impairments
Supporting Oral Feeding in Fragile (SOFFI Ⓡ)
TOTs Training Ⓡ

Rachel Lee is an ASHA certified and Kentucky licensed speech-language pathologist with specific focus in pediatric feeding disorders, lactation, infant massage, and oral motor skill delays. She is a TOTS trained therapist who works closely with a multidisciplinary team to address oral function as it relates to tethered oral tissues.

Speech-Language Pathologist specializing in TOTS, Infant Feeding, Tummy Time! Method by Michelle Emanuel, Orofacial Myofunctional Disorders (OMDs), Articulation, Picky Eating, and Healthy Mouth Development with a focus on the client’s nervous system. Rachel is committed to being a lifelong learner, especially when it comes to learning more ways she can help her clients. She has received ASHA’s ACE award three times. Continuing education includes but is not limited to: TOTS Specialty Training, SOS, Feed the Peds, Beckman Oral Motor, Tummy Time! Method, PROMPT Intro and Bridging courses, When Babies Can’t Suck an advanced course, The Myo Method, Making the Connection through the IAOM, LAMP, Pre and Post Frenectomy Oral Motor and Whole Body for the OT and SLPS, and Feeding and Swallowing Disorder: Assessment and Management. Serving clients in South Louisiana in and near Mandeville, LA.

Rachel Martinez is an IBCLC in private practice serving families in Southeast Tennessee. She provides both prenatal breastfeeding education as well as in-home lactation consults for breastfeeding families. Many visits are covered through insurance at no out-of-pocket cost.

I’m an International Board Certified Lactation Consultant (IBCLC), as well as a Child Passenger Safety Technician (CPST). That means in addition to lactation help, I can assist parents with car seats all the way from infant seat to big-kid booster.

I pride myself on a warm, authentic approach and the ability to befriend pretty much anyone. After 15 years in the corporate world, I decided to take that superpower, go back to school, and learn how to help new parents.

Today we’d like to introduce you to Rachel Sultzer.


Hi Rachel, thanks for joining us today. We’d love for you to start by introducing yourself.
Hi! Thanks for having me! My name is Rachel and I am a Certified Lactation Counselor, Certified Breastfeeding Educator and Certified Postpartum & Infant Care Doula. I was drawn to the birth world through my love of childcare and family support, starting as a mother’s helper in elementary school. My passion grew as I continued to babysit and work as a camp counselor and nanny throughout college and my career in corporate America. Then I finally settled into being a full-time nanny over 7.5 years ago. Over that time, I have experienced firsthand the lack of breastfeeding education and postpartum support for birthing parent and their partner. It wasn’t until my experience as a volunteer infant-cuddler at UF SHANDS that I started to shift my focus to the birth world and how I could make a meaningful impact. To enhance my knowledge and pursue my enthusiasm for helping parents navigate breastfeeding and postpartum care, I became certified as a Lactation Counselor through the Healthy Children Project and the American Academy of Lactation Policy. I practiced and worked as a Breastfeeding Educator through Commonsense Birth Institute (2017, 2021). Most recently (2022), I received my Postpartum & Infant Care Doula certification through PRODoula. Over the last five (5) years, I have spent my free time working with parents needing lactation and postpartum support while gaining my certifications and nannying full time. I am proud to announce that as of August 1, 2022, I am working as a full-time Postpartum & Infant Care Doula while continuing to teach Breastfeeding 101 and support parents needing breastfeeding counseling.


Can you talk to us about the challenges and lessons you’ve learned along the way? Would you say it’s been easy or smooth in retrospect?
I have been very fortunate to work with wonderful families who have supported my journey and have amazing mentors, partners, and friends in the Northeast Florida birth & postpartum care world. Without the support and guidance from our amazing birthing and postpartum community, I would not be where I am today.


However, I think there are always some hurdles along the way to pursuing what matters most, but those hurdles help shape your practice and test your motivation to succeed. COVID-19 was the biggest hurdle, as we all had to learn how to navigate through a terrifying and uncertain time. Although it wasn’t easy, this hurdle only strengthened my desire to support families through their postpartum journey! I was about to become certified as a Postpartum Doula when the world shut down. My role as a nanny changed, and the time I wanted to dedicate to my postpartum family disappeared. After the chaos settled, I found ways to bring lactation and postpartum support back into my world. I did many virtual visits and got used to wearing masks while doing home visits. Overall, I would say my exerience has been a wonderful one and I will forever be thankful for my unique journey into this world.


Appreciate you sharing that. What should we know about Hugs and Snugs Postpartum Care Services?
Hugs and Snugs Postpartum Care Services is a safe and supportive space that allows for physical, emotional, and mental recovery for the birthing parent and their family as they all navigate the transition from birth into postpartum.


As a Certified Postpartum & Infant Care Doula, my job is to provide empathetic, non-judgmental, evidence-based care for the birthing parent, the new baby, the birthing partner, and the rest of the family (fur babies included). This can include assisting with the physical and emotional recovery after birth, feeding support (breastfeeding, bottle feeding, combo feeding), light housekeeping and meal prep, evidence-based hands-on newborn education, nursery organization, sibling and partner support, overnight support, and so much more!


As a Certified Lactation Counselor, I visit your home to assess your breastfeeding journey. We spend time chatting about your birth experience and discussing any questions or concerns that you may have regarding your breastfeeding relationship. From that point, I examine the latch, breastfeeding positions you have been utilizing, and anything else that would help to determine a course of action to continue your breastfeeding journey successfully.


As a Certified Breastfeeding Educator, I have been teaching Breastfeeding 101. I love providing the birthing parent and their partner an opportunity to learn about breastfeeding and how to advocate for themselves and their little ones. I am currently offering Breastfeeding 101 in three ways; in-office, privately online via Zoom, and privately in the comfort of your home.

Working with pediatrics and very passionate about speech sound disorders, oralfacial myofuncational therapy, and literacy.

Board certified pediatric dentist and certificated community breast feeding educator versed in both laser and electrocautery frenum releases