Clinical Swallow Evaluation
Comprehensive medical case history interview, identifying potential dysphagia or risk factors affecting your swallowing safety or efficiency. Cranial nerve and oral mechanism exam to evaluate the 5 important cranial nerves which support oropharyngeal swallow function (Trigeminal, Facial, Glossopharyngeal, Vagus, and Hypoglossal). Complete informal or subjective clinical swallow evaluation with food and liquid to provide recommendations for diet and strategies, reviewing any signs/symptoms or risk factors of aspiration and educate if there is need to further assess through our mobile instrumental swallow study (i.e. Flexible Endoscopic Evaluation of Swallowing (FEES) or refer out Videofluoroscopic Swallow Study (VFSS) as needed).

Fiberoptic Endoscopic Evaluation of Swallowing Mobile (FEES)
Mobile nasopharyngoscopy instrumental evaluation of swallowing. Diagnose prevalence and severity of dysphagia (difficulty swallowing), extensive anatomical and physiological evaluation of swallow safety and efficiency using evidenced based diagnostic report, with appropriate referrals, and treatment recommendations for liquid and solid consistencies, modifications, maneuvers, strategies, and education on pillars of aspiration pneumonia with risk-benefit analysis across textures.

Voice Evaluation w/FEES Imaging Screen
Mobile comprehensive voice evaluation with voice box screening through use of FEES nasopharyngoscopy. Includes an interview and patient self-assessment questionnaire, objective evaluation with perceptual and visual analysis and rate characteristics of the voice like quality, pitch, loudness, resonance, vocal fold opening and closing. Analysis, documentation with recommendations, referrals and treatment plan options.

Speech-Fluency Evaluation
Detailed case history and interview performed. Cognitive-behavioral and objective evaluation of stuttering or motor speech impairment (dysarthria) relating to developmental or medical related decline with use of speech samples, transcription and evaluation of dysfluencies, and detailed evaluation report with treatment recommendations.

AAC Evaluation
Complete communication assessment through observation of current ability, identify core and fringe functional communication needs, provide feature matching, system selection, access method, symbol system, provide detailed evaluation documentation with options for device trial and training recommendations.

Cognitive-Linguistic Evaluation
Adult or geriatric cognitive or linguistic evaluation related to TBI, stroke, dementia, or a myriad of other diagnoses which lead to a cognitive or linguistic decline. Whether its related to memory, executive function, attention, receptive or expressive language - I am here to help evaluate areas in need of improvement to curate a personalized treatment plan related to your functional goals.

Speech Pathology Treatment - Any Domain
Offerings to adults in most domains within scope of practice of an SLP including but not limited to motor speech deficits, fluency disorders, swallowing deficits/dysphagia, voice, neurodiverse populations (ADHD, Autism, complex trauma) where treatment may relate to pragmatics to improve social or functional communication verbal and nonverbal or Augmentative and Alternative means of Communication (AAC). Therapy plans lay out long term and short term goals in domain of focus. I can work on multiple domains per session! Evaluations would be separate.

Qualified SLP FEES Competency Mentorship:

Moira Gallagher M.S. CCC-SLP has been a practicing medical SLP for 8 years primarily in the acute care setting. Moira can provide comprehensive, research-aligned FEES competency mentorship for speech-language pathologists seeking to elevate their clinical confidence and meet best-practice standards in endoscopic dysphagia assessment.

Training will be the combination of evidence-based instruction, hands-on guided practice, and individualized mentorship rooted in the competencies outlined by ASHA, Carolina Speech Pathology, TDLR, and leading FEES education models across the U.S.

Whether you are new to FEES or looking to refine your skills, our structured pathway supports you through every stage—from foundational knowledge and safety protocols to technical skills, interpretation, and real-world clinical application.

Mentorship Includes:
Step-by-step competency checklists for endoscope handling, anatomy & physiology identification, swallowing assessment protocol, interpretation, and documentation

In-person coaching with live scope handling and guided observations with feedback on body mechanics, procedure process, materials, FEES interpretation, and documentation.

Evidence-based practice aligned with current state and national recommendations of medical necessity for reimbursement with Medicare.

Virtual follow-up support to ensure continued growth and independence.

A trauma-informed, supportive learning environment tailored to your pace.

Moira’s goal is to cultivate confident, competent, and compassionate FEES clinicians who provide safe, high-quality dysphagia care across all settings.

If your facility or clinical team is ready to deepen its dysphagia expertise and expand access to instrumental assessment, Moira would love to support you.

Holistic Wellness Services include:
1. Sound Healing
2. Nervous System Regulation Coaching
3. Holistic Life Coaching
4. Patient Advocacy
5. Death/End of Life Doula
6. Wedding and Ceremonial Officiating

At Holistic Healing Sound & Wellness, wellness coaching, doula work, patient advocacy, and sound healing sessions are non-medical, client-centered support service designed to nurture emotional resilience, confidence, and quality of life during times of health transition. This offering is especially supportive for individuals and families navigating complex journeys—such as recovery from illness, reliance on supplemental nutrition, chronic degenerative disease diagnosis, changes in eating routines. Individuals who are seeking mindful, compassionate guidance outside of clinical SLP direct therapy needs.

What This Coaching Supports:
Wellness coaching focuses on the human experience of healing, not diagnosis or treatment. Sessions may include:
- Emotional and motivational support during recovery or lifestyle changes
- Mindfulness and presence practices related to eating, drinking, and nourishment
- Reducing anxiety, pressure, or fear around meals and daily routines
- Supporting autonomy, dignity, and enjoyment of food experiences
- Gentle caregiver education to encourage pacing, attunement, and reduced pressure
- Cultivating trust in the body and fostering a positive relationship with nourishment
This work emphasizes listening to the body, honoring readiness, and restoring confidence, rather than pushing performance or outcomes.

What This Coaching Is Not
- To maintain clarity and ethical boundaries, wellness coaching does not include:
- Dysphagia therapy or rehabilitation
- Medical diagnosis or treatment
- Clinical swallow evaluations or instrumental assessments
- Diet prescription or medical feeding recommendations

Holistic Coach | Patient Advocacy
Practicing in acute care on front line hospital setting my whole career, my primary role was SLP, my secondary role has always been a patient advocate. I want to assist people in understanding their medical diagnoses by helping them factually document interactions and support their expression of personal goals of care to medical doctors and team. I would assist in helping family, friends, and loved ones of your personal & medical goals or rational behind your decisions. My goals are your goals, always. I am not here to take away your autonomy. I am here to support it deeply, regardless of whether that is to pursue rehabilitation or comfort/quality of life. I also help you understand the risk benefit analysis of both options. I can offer an unmatched emotional empathetic support system for you or your loved ones most vulnerable state when medically fragile in hospital setting.

Death/End of Life Doula
Also known as an end-of-life doula or death midwife, is typically a non-medical professional who provides support and guidance to individuals nearing the end of life and their families. Death doulas help to normalize the dying process and create a comfortable and peaceful environment. There is no official governing national certification to become a death doula, however I have taken continuing education on end of life care, comfort or hospice plans of care. With me, you get the best of both worlds, as medical SLP in hospital setting, I have worked closely with end of life as it related to dysphagia management and both palliative care and hospice professionals relating to advanced goal planning. In this role I would provide emotional support, education/guidance, practical assistance, vigil and companionship in dying process, provide legacy prep, caregiver and grief support. Sound healing would be incorporated during support sessions as desired!

Clients who require medical or rehabilitative services are encouraged to work with their licensed healthcare providers. When appropriate, wellness coaching may complement—but never replace—medical care.

A Holistic, Compassion-First Approach:
Grounded in mindfulness, nervous system awareness, and compassionate presence, this coaching approach recognizes that healing is not only physical—it is emotional, psychological, and relational.

Sessions are private-pay and designed to feel supportive, respectful, and empowering, meeting clients exactly where they are.