At Tiny Transitions, we believe every child deserves the opportunity to thrive. Our developmental therapy services are designed to nurture growth across all areas of development, including motor skills, play, communication, social-emotional development, and daily routines. Through individualized, play-based interventions and caregiver coaching, we help children build confidence, independence, and the skills needed for success in everyday life.
Because children learn best in familiar environments, we bring therapy directly to your home and community settings. This allows us to create meaningful, practical strategies that fit naturally into your family’s routines, empowering both children and caregivers every step of the way.
Bringing home a premature, medically fragile, or high-risk infant can be both joyful and overwhelming. At Tiny Transitions, we provide personalized caregiver coaching to help families feel confident, supported, and empowered throughout their child’s developmental journey.
With specialized expertise in NICU follow-up, infant development, feeding, sensory regulation, and early childhood development, we partner with caregivers to address the real-life challenges that arise at home. Whether you have questions about feeding, sleep, developmental milestones, play, positioning, sensory needs, or daily routines, we offer practical, evidence-based guidance tailored to your family’s unique circumstances.
Our coaching sessions combine education, hands-on strategies, and compassionate support to help you better understand your child’s needs and promote healthy development within everyday routines. Services are provided in your home, allowing us to create meaningful solutions that fit naturally into your family’s life.
Caregiver Coaching Can Help With:
Premature infants and NICU graduates
Developmental milestone monitoring
Feeding and oral motor challenges
Sensory regulation and soothing strategies
Play and developmental activities
Sleep and daily routines
Positioning and handling techniques
Building caregiver confidence
Navigating the transition from hospital to home
You don’t have to navigate this journey alone. We’re here to provide the expert support, guidance, and encouragement you need to help your child thrive and your family feel confident every step of the way.
At Tiny Transitions, we believe every child deserves the opportunity to thrive. Our developmental therapy services are designed to nurture growth across all areas of development, including motor skills, play, communication, social-emotional development, and daily routines. Through individualized, play-based interventions and caregiver coaching, we help children build confidence, independence, and the skills needed for success in everyday life.
Because children learn best in familiar environments, we bring therapy directly to your home and community settings. This allows us to create meaningful, practical strategies that fit naturally into your family’s routines, empowering both children and caregivers every step of the way.
In addition to program development and staff education, Tiny Transitions is committed to advancing the neonatal and pediatric therapy workforce through mentorship, continuing education, student engagement, and leadership development. We work with organizations to build sustainable clinical programs that support both patient outcomes and professional growth.
Whether you are developing a new NICU developmental care program, enhancing neonatal feeding practices, strengthening staff competencies, or creating a high-risk infant follow-up service, Tiny Transitions provides practical, evidence-based solutions grounded in decades of clinical experience.
Specialties include NICU developmental care, neonatal Occupational Therapy, high-risk infant follow-up, infant feeding, sensory development, caregiver education, neurodevelopmental outcomes, and the transition from NICU to home.
Tiny Transitions Therapy Consulting provides specialized consulting services for hospitals, NICUs, healthcare organizations, universities, therapy practices, and early intervention programs seeking to enhance neonatal and pediatric care.
Led by a Board-Certified Pediatric Occupational Therapist and Certified Neonatal Therapist with more than 25 years of experience, our consulting services focus on NICU developmental care, neonatal therapy, high-risk infant follow-up, infant feeding, family-centered care, and workforce development.
We partner with organizations to develop evidence-based programs, strengthen staff competencies, improve developmental outcomes, and support best practices for premature infants, medically complex newborns, and their families.
NICU program development and implementation
Developmental care in the NICU
Neuroprotective care practices
High-risk infant follow-up programs
NICU-to-home transition programs
Neonatal therapy program design
Infant feeding and oral motor program development
Family-centered and trauma-informed care
Pediatric and neonatal staff education
Competency assessment and clinical skill development
Mentorship for neonatal and pediatric therapists
Early intervention and developmental care consulting
Quality improvement initiatives
University guest lectures and professional education
Conference presentations and keynote speaking engagements
Occupational therapy services delivered in your home, where your child and family are most comfortable, with practical strategies that fit your daily routines.
Education and coaching for clinicians who are working with, or hoping to work with, infants — from students to experienced therapists.
Educational materials for families and caregivers as well as students and clinicians, including our book From Tiny to Brave and future publications.