Learn More About ICAP
Our Working Board
Learn More About ICAP
Our Working Board
Learn More About ICAP
Our Working Board
The International Consortium of oral Ankylofrenula Professionals (ICAP) was formed in 2016 with the desire to have a democratic organization for healthcare professionals wanting to assess, understand and treat oral restrictions. ICAP was conceived in response to a call for an ethical, inclusive and fair organization to represent the growing number of oral ankylofrenula professionals in the world. It is with our strongest belief that mutual respect and collaboration amongst all healthcare professionals working with oral restrictions is essential to furthering our knowledge and maximizing our successes in this emerging field.
Dr. Andrea Kittrell is a graduate of Duke University and Wake Forest University School of Medicine. She completed her Otolaryngology/Head & Neck Surgery (OTO/HNS) residency at Southern Illinois University where she was inducted into the Alpha Omega Alpha Medical Honor Society. She also received the Charles F. Ferguson Clinical Research Award from the American Society of Pediatric Otolaryngology as a resident. Dr. Kittrell has practiced General Otolaryngology in Lynchburg, Virginia for over twenty years, opening her solo private practice in 2009. Although she has performed infant frenotomies since residency, it was the astute urging of a well-respected local IBCLC which prompted her to focus on improving her understanding of optimum management of tethered oral tissues. Relationships with experts in Pediatrics, Otolaryngology, and Breastfeeding Medicine led her to join The Academy of Breastfeeding Medicine (ABM) and The International Consortium of oral Anklylofrenula Professionals (ICAP). Since then, she has sought mentorship from Otolaryngology experts in the field, has attended annual meetings of both ICAP and ABM, has enrolled in breastfeeding education courses though ABM, and was a participant in the inaugural class of the ABM Leadership Academy in 2021. In 2018, Dr. Kittrell collaborated with her extraordinary IBCLC colleague to form Ties that Bind: Maternal & Infant Feeding Medicine. The practice serves dyads struggling with infant feeding issues across central Virginia, many of whom are of lower- income status. In addition to the joy of helping families by improving infant feeding, Dr. Kittrell has a passion for equity and inclusion in access to quality medical care, particularly for women and children of marginalized class or color. Outside of her professional life, Dr. Kittrell enjoys fostering relationships with her four grown children (all formerly breastfed), ACC sports (especially Duke basketball), and travel (see you in Vancouver!).
Dr. Sharon Smart is a speech pathologist and lecturer in the Curtin School of Allied Health at Curtin University in Perth, Western Australia. She has worked as a speech pathologist in paediatric feeding and swallowing disorders for over 20 years. Her research interests are the impact of ankyloglossia on feeding and speech sound production, and paediatric feeding disorders.
Nathalie is located in Abbotsford, BC Canada and has centred her Registered Massage Therapy practice around supporting babies and parents in reaching their state of wellness and growth. She started her Massage Therapy Schooling in 2002 at age 17 and graduated in 2004. In 2005 she started her journey with the Upledger Institute with CranioSacral Therapy and later added Visceral Manipulation & Neural Manipulation with the Barral Institute.
Nathalie is the owner of Womb To Wings & Soar Wellness Clinic. Her aspiration is to help more people than she could ever do alone and opened Womb To Wings in 2018 that focuses on Family Wellness. She has expanded into teaching other practitioners and creating a team of passionate practitioners that use an intergraded approach to wellness.
Elly is a Registered Nurse, having graduated from Queen’s University in 1982. She has been working with premature and full term newborns and their families for over 33 years in a variety of roles. In 2009 she officially became an Internationally Certified Lactation Consultant (IBCLC). Along the way she has also certified as a Novell Network Engineer. As an Internationally Certified Infant Massage Instructor – Level 2, she is able to teach parents about how to massage their newborns also discussing the effect and importance of the “switches” that genetically turn on or off to their baby’s advantage as per Dr. Bruce Lipton’ research.
Dr. Ray loves working with parents and children to create positive experiences at each visit, for every child. He believes his role is to provide all the information needed to help parents make informed choices about their child’s oral healthcare, and to develop a plan that balances the wishes of parents with the wellbeing, health and wellness of the child. Dr. “Ray” completed his Bachelors of Science (BS), Doctor of Dental Surgery (DDS), and Doctor of Philosophy (PhD) at the Ohio State University in Columbus, Ohio. He also completed a four-year residency/fellowship in pediatric dentistry and nutrition at the University of North Carolina Hospitals and School of Dentistry.
Dr. Ray is adjunct faculty at the UNC Department of Pediatric Dentistry, and serves as the Chair for Children’s Dental Health Programs for the North Carolina Dental Society. He has hospital privileges at Wake Med Hospital in Raleigh, NC as well as the Cape Fear Valley Health System in Fayetteville, NC. Outside of his clinical and academic commitments, Dr. Tseng enjoys traveling with his wife and his son, Little Ray.
Jessica has been invested in helping families struggling with oral restrictions since giving birth to a tongue tied baby in 2005, while working as a La Leche League Leader, birth, and postpartum doula. She earned her IBCLC credential in 2009 and started a private practice in the Triangle area of North Carolina, in the United States. She provides home visits there and also works regularly to provide integrative care for treatment of ties in infants through the North Carolina Intergrative Tongue Tie Center. She has worked with multiple practices around the United States to initiate an integrative model in multiple geographic areas. She’s excited to see so many families fully supported by the Three Pillar Approach, as well as enjoying time with her husband and 4 children, ranging in age from 19 to 9. She’s also passionate about creating community and inspiring personal connections.
Robyn Merkel-Walsh, M.A., CCC-SLP, COM ® is a Licensed Speech Pathologist and Certified Orofacial Myologist® with over 25 years of experience in the state of NJ. She is employed full time by the Ridgefield Board of Education and runs a private practice in Ridgefield, NJ. She has been elected NJ Kids Top Doctors in 2012, 2013, 2014 and 2018.
Robyn specializes in Oral-Placement, feeding and orofacial myofunctional disorders in children. Her private practice focuses on Oral-Placement Disorders in children, and she has expanded her practice to teens and adults over the past two years. She conducts evaluations and Program Plans for children across the tri-state area. Her publications include, SMILE (Systematic Intervention for Lingual Elevation), Art Talk, Handy Handouts, OPT-S Kit, and she co-authored Sensory Stix, A Sensory Motor Approach to Feeding, Functional Assessment and Remediation of Tethered Oral Tissues and OPT Goals for Speech Clarity. She has also written several articles for the TalkTools® website, the ASHA Leader and Advance Magazine for Speech Pathologists. She has been published five consecutive years at the annual convention of the American Speech-Language and Hearing Association.
Robyn is a lecturer for professional enhancement courses as part of TalkTools® Speakers Bureau. She teaches OPT, TOTs, Tongue Thrust and Autism classes that have been offered for ASHA CEUs, and has been invited to speak on Oral Placement disorders by the New Milford Board of Education, The Apraxia Network, AAPPSPA, the International Association of Orofacial Myology The American Laser Study Club and the MOSAIC Foundation. She is actively involved in parental support groups for apraxia, TOTs and autism, and monitors an interactive Oral Placement Discussion Board on Facebook. Robyn was a chief clinician in a research project for the Moebius Foundation, and trains Level 3 and 4 Talk Tools candidates.
Robyn received both her undergraduate and graduate degrees from Montclair State University, where she was later invited to be an adjunct/clinical supervisor. She also taught classes at Bergen Community College, and is a former clinical site coordinator for Seton Hall University and Malloy College. She is a member of ASHA, AAPPSPA, NJEA, IAOM, OMI, Ankyloglossia Bodyworkers, ICAP and The Bergen County Apraxia Association. She served a term on the NJSHA Board of Directors and is the private practice co-chair. She is the Board Chair of the Oral Motor Institute which was founded by Pamela Marshalla. She is the proud recipient of the ASHA ACE Award and the Ridgefield Woman of the Year 2019 in Business.
Robyn has specialized training in Oral-Placement Disorders, feeding, apraxia, Applied Behavioral Analysis, TOTs, autism, Myofunctional disorders, orofacial myology, cranio-facial anomalies, Beckman Techniques and PROMPT. Robyn also has a specialized interest in integrative medicine and holistic healing.