Meet the TLC Team

Jenny Domiano, MOT, LOTR

-Founder & Owner

-Occupational Therapist

Jenny graduated from Stephen F. Austin State University with a bachelor's degree in Rehabilitation Services. She then went on to earn her Master's degree from Texas Woman's University in Houston. Jenny has worked as an occupational therapist for 22 years in a variety of practice areas including mental health, brain injury rehabilitation, ergonomics, and pediatrics, where she has truly found her calling. She has worked extensively with children at Children's Hospital, as an Early Steps provider, in schools, and at our outpatient clinic. Her pediatric specialties include feeding, sensory processing, handwriting, and behavior modification. Jenny is a mom of two daughters and is committed to working with families to make therapy both enjoyable and meaningful for the whole family.


Megan Raymond, MOT, LOTR

-Therapy Manager

-Occupational Therapist

Megan graduated from Louisiana State University – Baton Rouge with a bachelor's degree in Kinesiology. She then earned her Masters in Occupational Therapy at Louisiana State University Health Sciences Center – Shreveport. She began working as an outpatient pediatric OT at Tulane in 2015. Through her education and experience thus far, Megan has worked in multiple settings with children to improve development, handwriting, sensory processing, fine motor, visual motor, feeding, and self-care skills. She has taken continuing education to treat for sensory feeding, torticollis, visual motor difficulties, and uses the Handwriting Without Tears protocol. She believes in communicating with families and teachers to facilitate a team based collaboration. She is dedicated to helping each child and family to the best of her ability and thrives on seeing each child grow and improve. Megan and her husband, Alex have a baby girl, Julia, and a dog, Rocky! She loves to travel, try new recipes, and spend time with family/friends.


Amanda H. Duhe, MOT, LOTR

-Program Director

-Occupational Therapist

Amanda graduated from Louisiana State University with a Bachelors degree in Interdisciplinary Studies with a specific concentration in psychology, biology, and anthropology. She then earned her Master’s of Occupational Therapy at Louisiana State University Health Sciences Center - New Orleans in 2018. Amanda is trained in an evidence based developmental approach to the pediatric brain and specializes in early childhood development. She uses this foundation to address a variety of client needs to facilitate development and optimal functioning in a variety of areas including sensory based feeding, self-care independence, educational performance, developmental play, and social emotional regulation skill sets. Amanda believes in taking a holistic and family centered approach to meet the needs of both the client and family as a unit. In her free time, Amanda enjoys spending time with her family and her sweet puppy!

Susan Raney, M.A., CCC-SLP 

Speech Language Pathologist 

Susan earned a Bachelor of Arts in Speech-Language Pathology at Louisiana Tech University in Ruston, LA. She then earned her Master of Arts in Communication Disorders from Louisiana State University in Baton Rouge, LA. Additionally, she graduated with a concentration in pediatric feeding. In May 2017, she moved to New Orleans and began working with the pediatric population in preschools and public schools. Susan has experience with a variety of speech and language disorders, but she is especially passionate about pediatric feeding and swallowing disorders. Susan enjoys doing yoga, calligraphy, and binge watching tv series with her husband.

Kiana Kiyohara, MOT, LOTR
Occupational Therapist

Kiana graduated from the University of California Los Angeles (UCLA) with a Bachelor’s degree in Psychology. She then earned her Master’s in Occupational Therapy at the University of Southern California (USC) in 2018. In February 2019, she moved to New Orleans and began working with children in school-based and outpatient clinic settings. She has over ten years of providing childcare to local families with children ranging from newborn to early teens, and has a solid background in physical, cognitive, and social development. Kiana has a strong passion for working with the pediatric population, and found the perfect blend of the arts and sciences in occupational therapy. She is dedicated to maximizing the quality of patient outcomes through evidence- based research and client-centered treatment approaches, and hopes to use her profession to make a meaningful difference in people’s lives.

Ashley Ezell, MCD, CCC-SLP

Speech Language Pathologist


Ashley received her Bachelor of Arts in Communication Disorders at Louisiana State University - Baton Rouge and a Masters in Speech Language Pathology at LSU iShreveport. She worked in Shreveport for 4 years in a variety of settings including inpatient pediatric, geriatric, and hospital settings. Ashley moved to New Orleans in May of 2019 and currently works at a skilled nursing facility while doing pediatric outpatient therapy at TLC. Her hobbies include watching movies with her husband, discovering new places to eat in New Orleans, playing with her dog, Harper, and exercising. 

Miller Killgore, MOT, LOTR

Occupational Therapist


Miller is a Louisiana native who received her Bachelor of Science in Kinesiology from Louisiana State University. She received her master’s degree in Occupational Therapy from The University of St. Augustine for Health Sciences in St Augustine, Florida in 2017. She began her journey as an occupational therapist at an outpatient pediatric clinic in Baton Rouge. Throughout her pediatric career, Miller has gained significant experience in sensory processing skills, social skills, feeding, and motor development . When she was in Florida at The University of St. Augustine, Miller volunteered with Brooks Adaptive Sports and assisted disabled individuals with adaptive clay shooting, horseback riding, sports, and other activities. Miller loves working with children and their families while taking a holistic approach in order to promote greater independence and increased participation in daily activities. In her free time, Miller enjoys spending time with her family and friends, reading, and being outdoors. 

Hayley Schmidt, MA, CCC-SLP

Speech Language Pathologist


Hayley earned both her Bachelor of Arts and Master of Arts in Communication Sciences & Disorders from Louisiana State University in Baton Rouge, Louisiana- geaux Tigers! She has spent the last three years delivering creative and meaningful therapy services to elementary-aged children across schools in New Orleans. As a native New Orleanian, Hayley believes in the unique and culturally diverse spirit of our community, and strives to advance educational equity by providing children and families with the necessary tools to achieve success. She is thrilled to join a team of therapists dedicated to enhancing the learning and growth of our young people. In her spare time, Hayley enjoys crafting, reading, binging Netflix shows, and spending quality time with her beloved cat, Puddin. 

Maley Haro, MS, CCC-SLP

Speech Language Pathologist

Maley received her Bachelor’s and Master’s degrees in Speech-Language Pathology from the University of Southern Mississippi. Maley has worked with the pediatric population beginning in New Orleans at WJMC outpatient clinic. She then moved to Hattiesburg, MS where she worked with a private practice company servicing daycares/preschools, Headstart programs, and two outpatient clinics. Maley is excited to be back “home” in New Orleans and join our TLC team.  She is passionate about guiding her patients and families throughout their speech therapy journey, lovingly pushing patients to meet their potential. Maley enjoys staying busy, and making memories with her husband and daughter.

Danielle Hofman, PT

Physical Therapist


Danielle was born and raised in New Orleans. She is a graduate of Louisiana State University Health Sciences Center and has been a practicing pediatric physical therapist in the Baton Rouge area for over 25  years. She has worked in a variety of settings including out-patient, NICU, Early Steps and the school system. She has experience with a wide variety of diagnoses such as developmental delay, torticollis, cerebral palsy, spina bifida, muscular dystrophy, low muscle tone, autism spectrum disorder, toe- walking, balance and coordination disorders and numerous neurological and orthopedic conditions. She is NDT trained and is certified in infant massage. Danielle’s husband was recently transferred to New Orleans and Danielle is happy to have returned home! They have 4 grown children (all in college) and are enjoying their new empty nest in “The Big Easy!”

Mia Piazza, MOT, LOTR

Occupational Therapist


Mia graduated from the University of Louisiana at Monroe with a bachelor's degree in Health Studies and a minor in Psychology. She then earned her Master's in Occupational Therapy from the University of St. Augustine in December 2020. Her fieldwork experiences ranged from an inpatient rehabilitation center to a specialty ALS clinic, both of which allowed her to work with a diverse set of patients across the lifespan. From a young age, Mia volunteered in groups that allowed her to connect deeply with children with disabilities. Her experiences volunteering for organizations like Brooks Adaptive Sports and Surfers with Autism sparked her desire to foster greater inclusivity in her community and any work setting she enters. Although a new emergent into the field, Mia is full of fresh insights and ideas she hopes to incorporate in her treatment. She looks forward to starting a career in pediatrics and strives to be a lifelong learner in occupational therapy. In her free time, she enjoys spending quality time with her family and friends, traveling, and trying new restaurants.

Cinthia Alvarez