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, M.S., CCC-SLP, COM®, is a nationally certified Speech-Language Pathologist licensed in Oregon and Washington and an International Board Certified Orofacial Myologist. Her practice focuses on orofacial myofunctional disorders, using neuromuscular re-education to support functional patterns of breathing, chewing, swallowing, and oral rest posture.

    A particular area of interest is supporting individuals preparing for or recovering from orthognathic (jaw) surgery. Joanna provides specialized pre- and post-surgical myofunctional therapy to restore functional range of motion, improve muscular coordination and strength, and retrain oral function as the neuromuscular system adapts to changes in jaw structure and alignment and ongoing soft-tissue remodeling.

    Her practice also includes evaluation and treatment of individuals with suspected or diagnosed ankyloglossia (tongue-tie). She provides comprehensive assessment of oral function and collaborates with patients, families, and their treating providers when functional concerns may warrant further evaluation for lingual frenulum restriction. When a frenulum release is recommended, she provides pre- and post-release myofunctional therapy to support healing, lingual mobility, and long-term functional outcomes.

    Joanna collaborates closely with orthodontists, dentists, ENTs, and oral and maxillofacial surgeons to support coordinated care and lasting functional 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.