Meet the Team

A woman holding a young child in an outdoor setting with trees and dry grass in the background, as two children walk nearby.

  • Joanna Bihler, MS, CCC-SLP, COM® is a nationally certified Speech-Language Pathologist licensed in Oregon and Washington, and is an IAOM Board Certified Orofacial Myologist. Her work centers on restoring functional harmony through neuromuscular re-education of the oral and facial musculature.

    Her clinical approach focuses on improving breathing, swallowing, and masticatory function through targeted rehabilitation of the orofacial complex. Joanna has a focused interest in supporting individuals preparing for or recovering from orthognathic (jaw) surgery, providing specialized pre- and post-surgical myofunctional therapy to re-establish functional range of motion, enhance muscular coordination and strength, and retrain foundational oral functions such as nasal breathing, chewing, and swallowing.

    Joanna also evaluates and treats individuals with ankyloglossia (tongue-tie) across the lifespan. She provides comprehensive assessments of oral function and collaborates with families and airway-focused providers to determine when a release may be beneficial. When appropriate, she guides patients through pre- and post-release therapy to support optimal healing and long-term functional outcomes.

    She collaborates closely with orthodontists, dentists, ENTs, and oral and maxillofacial surgeons to support coordinated care and achieve refined, lasting outcomes.

A woman with long blonde hair and two children, a girl and a boy, enjoying time outdoors in a wooded area with tall evergreen trees. The woman is kneeling, holding the girl, and the boy is standing beside them, all laughing and smiling.

  • Sandra Lucas, M.S., CCC-SLP, is a nationally certified and Washington state–licensed Speech-Language Pathologist with advanced specialization in Orofacial Myofunctional Disorders (OMDs). A proud Washington native, she has devoted her career to helping individuals of all ages optimize orofacial function, improve breathing patterns, enhance speech, and elevate overall quality of life through refined, evidence-based care.

    Sandra brings extensive clinical training and experience in the evaluation and treatment of OMDs and is a strong advocate for a holistic, multidisciplinary approach to healthy breathing and oral function. She believes optimal outcomes occur when providers work collaboratively across specialties—often partnering with orthodontists, dentists, ENTs, pediatricians, and other airway-focused professionals to address the root causes of dysfunction rather than simply the symptoms. Her approach blends clinical precision with thoughtful, patient-centered care, ensuring that each client receives a treatment plan tailored to their unique physiology and needs.

    In addition to her professional expertise, Sandra’s perspective is deeply shaped by her own experience as a mother. After navigating years of challenges related to her son’s orofacial function, he ultimately underwent a frenectomy as well as a tonsillectomy and adenoidectomy. This journey provided Sandra with invaluable insight into both the clinical and emotional aspects of treatment, including the importance of appropriate preparation and comprehensive pre- and post-procedure care. These experiences allow her to guide families with not only clinical expertise, but also genuine empathy, reassurance, and practical understanding. She believes that viewing care through both a professional and parental lens further strengthens her ability to support families through the treatment process.