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About The Granite Bay Speech Team

Welcome to Granite Bay Speech!

For more than fifteen years, our incredible therapy team has been serving Granite Bay, Roseville, and the greater Sacramento area. We love what we do and we strive to exceed our client’s expectations! Our experienced speech, language and learning professionals create an individualized program just for you. We provide you with an unparalleled level of support. Our therapy is research and evidence based. Improve your communication skills at any age!

Nancy Barcal, M.A. CCC-SLP

Licensed Speech-Language Pathologist

Nancy is the director of Granite Bay Speech and has over 30 years’ experience treating speech, language, and learning difficulties. Prior to arriving in California, she worked in schools and hospitals in Illinois. Nancy's passion is helping individuals of all ages find their hidden learning potential in all areas of communication.

Read More about Nancy!

– Licensed Speech-Language Pathologist in California since 1981
– Certificate of Clinical Competence (CCC) awarded by the American Speech Language and Hearing Association
– Member of American Speech Language Hearing Association specialty division for Fluency
– Past Editor of the California Speech-Language Pathologist in Private Practice (CALSPAPP) newsletter
– Presented her research at the American Speech Language Hearing Association Convention
– Certified SpeechEasy® Preferred Provider
– Conference presenter for Attention Deficit Disorders (CHADD), Tri-Cities Children Center, Agency for Infant Development, Fremont School District, Ohlone College,   Mills College, California State University – Hayward
– Provided medical staff education for numerous San Francisco Bay Area hospitals and home health agencies
– Guest presenter for KNBR radio and Fremont cable TV
– Contributing health columnist for Granite Bay View magazine
– Since 1981, Nancy has worked as a licensed speech-language pathologist in California. She has experience as a therapist and home school educator treating language, communication, and learning disabilities. 

Christine Scalise, M.S. CCC-SLP

Licensed Speech-Language Pathologist

Christine graduated from the University of Central Florida with a Bachelor of Arts Degree in Communicative Sciences and Disorders with a minor in American Sign Language and Deaf Studies. She earned her Master of Science Degree in Communicative Sciences and Disorders from California State University Northridge.

Read More about Christine!

Christine is passionate about supporting neurodivergent individuals with communication using multiple modalities for self-advocacy. Christine has varied work experience with children and adults. She began her career as a Speech Language Pathology Assistant with medically fragile children in a Pediatric Prescribed Extended Care (PPEC) center. She continued her career as a Speech Language Pathologist in the public school system, skilled nursing facilities, assisted living facilities, and home health. Christine has worked in several facilities across different states including
Florida, Nebraska, Iowa, and California.

Christine views neurodiversity as a natural human variance that should be embraced. Autistic communication and social skills are naturally effective, and her goal is to assist parents and teachers understand their communication differences and foster relationships.

In her leisure time, Christine enjoys traveling with her husband and three children. Her hobbies also include baking, reading, and exploring the outdoors. She is enthusiastic to be joining the Granite Bay Speech therapy team and looks forward to working with new clients.

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Lael Carlson, M.S. CCC-SLP

Licensed Speech-Language Pathologist

Lael Carlson, M.S., CCC-SLP received her training in Communication Sciences at California State University, East Bay, graduating in 2010. She holds a Masters in Music from the San Francisco Conservatory of Music and a B.A. in music from the University of California, San Diego.

Read More about Lael!

Lael has worked in the Oakland Public Schools, Easter Seals Bay Area, and the San Juan Unified School District.  She currently performs speech and language assessments for the Department of Social Services. Lael is also trained in AAC and holds a certificate in Accent Modification from the American Speech and Hearing Association.

In addition, she is a choral conductor who has lead choruses for over 20 years, with a strong interest in voice and vocal pathologies as well as the incorporation of music in her therapy.

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Rima Sejpal Adusumalli, M.A. CCC-SLP

Licensed Speech-Language Pathologist

Rima Sejpal Adusumalli, M.A. CCC-SLP, received a BA from Boston University where she majored in Psychology and minored in Communication Disorders. She went on to receive her master’s degree in Speech-Language Pathology from Northwestern University in 2008.

Read More about Rima!

After earning her M.A, Rima worked at pediatric clinics all throughout the Chicago area, providing individual and group therapy in both the home and clinic settings. A large part of her caseload included treating children ages birth to three years old, through the early intervention program in the state of Illinois. Upon returning to her hometown of Los Angeles, Rima joined a multidisciplinary pediatric clinic and worked closely with other professionals to treat children on a global level that also addressed physical, sensory, and social-emotional needs of each client. Rima’s areas of expertise for the pediatric population (birth-twelve) include receptive and expressive language disorders, motor speech and articulation disorders, language-based learning disorders, auditory processing difficulties, and social/pragmatic challenges.

Rima began mentoring interns, clinical fellows, and other speech-language pathologists while continuing to build her repertoire of skills through training such as PROMPT, Hanen: It Takes Two to Talk, Social Thinking, and Sequential Oral Sensory Approach to Feeding (SOS). Rima loves working with children and their families, believing that parent education and training are essential for optimal success and carryover of skills across settings.

Outside of work, Rima is busy raising her two little kiddos, learning a new recipe, reading, spending time with her family, and enjoying the California sunshine.

Heather Musto, B.S., SLPA

Lead Teletherapy SLPA, Licensed Speech-Language Pathology Assistant

Heather Musto is a Licensed Speech-Language Pathology Assistant licensed in both California and Arizona. She graduated with her Bachelor of Science in Communicative disorders and Deaf Education from Utah State University. Prior to that, she graduated from American River College with an Associate of Science Degree as a Speech-Language Pathology Assistant.

Read More about Heather!

Heather has worked in the field of education for over twenty years. Her experience spans a wide age range, from birth to adolescence. She has worked with a variety of communication challenges, including, expressive and receptive language, auditory processing, dyslexia, articulation, apraxia, stuttering, phonological disorders, and social language skills. She most recently worked as a speech-language pathology assistant in the Folsom-Cordova Unified School system. She is excited to bring her therapy, parent training and counseling skills to the Granite Bay Speech clinic.

Heather’s approach to therapy is play-based, using positive reinforcement. She personalizes each therapy session to achieve maximum progress. She engages each child by focusing on their high-interest topics and utilizes a variety of activities. She welcomes parental involvement in sessions to achieve carryover of skills at home, in school, and in the community.


“I strive to use my knowledge of child development and early childhood education as a resource to support parents in their efforts to achieve optimal communication goals for their children. Along with my continued higher education and professional development, I look forward to collaborating and expanding my skills with the talented therapists at Granite Bay Speech.”

Sylvia Haddad, A.S., SLPA

Lead Licensed Speech-Language Pathology Assistant

Sylvia Haddad is a Licensed Speech-Language Pathology Assistant. She graduated from American River College with an Associate of Science Degree in Speech-Language Pathology. Prior, she graduated from San Jose State University with a Bachelor of Art Degree in Child and Adolescent Development.

Read More about Sylvia!

Sylvia is a lifelong learner with a passion for providing the highest quality service and treatment to all individuals.

Sylvia gained clinical experience through the Sacramento City Unified School District. She has experience working with individuals who have speech language impairments, specific learning disabilities, developmental delays, established medical disabilities, intellectual disabilities, and other health impairments including ADD, ADHD, and decreased vitality and alertness due to health problems. She strives to provide therapy tailored specifically to each individual’s needs and interests. She is dedicated to enhancing functional communication skills by helping individuals communicate their wants and needs with greater ease.

Sylvia has worked as a teacher with young children for years. Her experience spans from birth to young adolescence. She’s worked at multiple preschools throughout her career, with her most recent position being an Assistant Director at a Child Enrichment Center. She is passionate about early intervention and creating a positive space that fosters growth.

In her free time, Sylvia enjoys traveling, gardening, preparing plant-based meals, and spending quality time with loved ones. She is incredibly excited to gain new experiences and join the Granite Bay Speech team!

Kelli Sella, B.A., SLPA

Assistant Manager, Licensed Speech-Language Pathology Assistant

Kelli Sella is a Licensed Speech-Language Pathology Assistant. She graduated with her Bachelor of Art Degree in Speech-Language Sciences and Technology from Northern Arizona University. Prior to that, Kelli obtained her Associates Degree in Natural Sciences from Mt. San Antonio College, located in Southern California.

Read More about Kelli!

Kelli utilizes motivating and appropriate therapy materials for both in-person and telehealth therapy. She has experience with phonological disorders, articulation, expressive and receptive language disorders, and other speech and language impairments including learning disabilities, developmental delays, ADHD, and ASD. Kelli has worked with a wide variety of ages, including early intervention, preschool and elementary school children.


Kelli personalizes each client’s session to promote progress in their communication skills. She uses positive reinforcement and parent education to ensure carryover skills at home and throughout the client’s life. Kelli strives to establish a collaborative partnership with her clients and their families in order to achieve maximum progress and meet individualized goals.

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McKenzie Chen, B.S., SLPA

Licensed Speech-Language Pathology Assistant

McKenzie Chen is a Licensed Speech Language Pathology Assistant. She graduated from American River College with an Associate of Science Degree in Speech-Language Pathology. Prior to that, she graduated from the University of Wisconsin-Madison with a Bachelor of Science Degree in Rehabilitation Psychology

Read More about McKenzie!

McKenzie is passionate about focusing on clients as individuals and tailoring treatment to meet each client’s unique needs. She utilizes individualized and developmentally appropriate therapy materials and activities to help client’s reach their goals and improve their communication. She strives to tailor therapy sessions to focus on each client’s needs and interests.

McKenzie gained clinical experience through the Eureka Union School District. She has experience with articulation, phonological disorders, language disorders and other speech and language impairments. McKenzie has worked with a variety of ages in both individual and group settings.

McKenzie has worked in the field of Applied Behavioral Analysis (ABA) as an instructional assistant and a registered behavior technician, working one on one and in group settings with children with autism. She has experience working with children from preschool to adolescence. She has worked in various settings including clinics, in-home, and schools helping clients to reach their individualized goals and improve their communication and problem-solving skills.

McKenzie believes in the importance of developing positive and collaborative relationships with clients and their families. She believes it is important to incorporate caregivers and family into therapy to allow for carryover of skills into a client’s home and community. She is excited to join the team at Granite Bay Speech.

Madison Bayer, B.A., SLPA

Licensed Speech-Language Pathology Assistant

Madison is a Licensed Speech Language Pathology Assistant, (SLPA). She graduated in 2014 from The University of North Dakota with her Bachelor of Science degree in Communication Sciences and Disorders, with a minor in both Deaf Studies and Psychology. She graduated in 2015 from CSU Northridge with an Associate of Science Degree as a Speech-Language Pathology Assistant.

Read More about Madison!

Madison has worked with children since high school; she was the neighborhood nanny for approximately 8 years and later worked in a daycare while pursuing her Associates Degree. She has worked in private practice and school settings with children ages 2-22 years old. Madison has experience with a wide variety of communication disorders, including articulation, phonology, apraxia, stuttering, ASD, ADHD, language delay and social language skills. Madison uses positive reinforcement and a play-based therapy approach for children to ensure that they are learning while having fun in their sessions. She encourages parents to sit in on sessions, ask questions, and implement therapy approaches at home.

Off the job, Madison enjoys spending time with her husband and two Australian Cattle Dogs, taking them on hikes, and to any dog friendly restaurant. She enjoys baking with her sourdough starter, cooking authentic recipes from other countries, and exploring new cities/countries. She is thrilled to be part of the Granite Bay Speech Team!

Natalie Drabkov

Natalie Drabkov, A.S., SLPA

Licensed Speech-Language Pathology Assistant

Natalie Drabkov graduated from American River College with an Associate of Science degree as a Speech Language Pathology Assistant (SLPA) in 2019. She has worked as a Speech Language Pathology Assistant since 2019 and is currently slated to receive her bachelor’s degree in communication sciences and disorders in May 2023.

Read More about Natalie!

Natalie is a very skilled and experienced therapist who has worked with children, adolescents, and young adults. Areas of expertise include articulation/speech sounds, phonological processes, apraxia, early intervention, receptive and expressive language, social and pragmatic language, stuttering and family support and education.

Natalie meets each client’s needs by individualizing their therapy program. Goals are developed which improve daily communication. Practice is incorporated outside of the sessions through meaningful activities. Client and family preferences are respected and incorporated into each therapy session. Maximum communication progress is supported through client selected family, peers, teachers, teammates, and community members.

Natalie is a very kind, compassionate and knowledgeable therapist who establishes strong emotional bonds with her families. She is driven to serve others in therapy, as well as in the wider community. She is passionate about giving to others. She has served through missionary trips in orphanages in Mexico. She has collected and donated clothing, educational materials, school supplies and food to families in need.

We are very excited about Natalie joining our wonderful team at Granite Bay Speech.

Heather Andersen

Heather Anderson, M.S. CCC-SLP

Licensed Speech-Language Pathologist

Heather received her Bachelor of Science degree in Speech-Language Pathology from the University of the Pacific. She continued her speech therapy journey at Eastern New Mexico University where she obtained her Master of Science degree in Communicative Disorders.

Read More about Heather!

Since graduating she has spent the last 7 years specializing in pediatrics, working with diverse populations including articulation, phonological, early language, and neurodivergent. She is trained in the parent education program “More Than Words” by the Hanen Center. She has completed the first level of training for PROMPT, which elevated her therapeutic skills in articulation. She has also completed LAMP training (Language Acquisition through Motor Planning) in order to better serve her non-verbal clients who use speech generating devices and other forms of AAC to communicate.

In her spare time, she can be found in her garden with her dog and three cats, or having tea with her grandmother. She is looking forward to meeting your child and assisting them achieve their speech and language goals!

Angelica Rose Garduque

Angelica Rose Garduque B.S., SLPA

Licensed Speech-Language Pathology Assistant

Angelica Rose is a Licensed Speech-Language Pathology Assistant. She received her Bachelor of Science in Communication Sciences and Disorders from Northern Arizona University.

Read More about Angelica!

Angelica is committed to providing personalized and evidence-based therapy to individuals of all ages. She focuses on each client’s unique needs and goals. She provides a nurturing and welcoming environment where clients can build their confidence, achieve their goals, and find their voices.

Angelica’s dedication and compassion for children stems from her experience as a student teacher in Illinois. She played a vital role in shaping the early education experience of preschool children and helping them develop essential social and cognitive skills.

Prior to joining the team, Angelica worked with children from preschool through elementary in general education and Special Ed groups for the Roseville Unified School District. She attended to children’s language, social pragmatic, articulation, and phonological disorders.

Angelica firmly believes that given the opportunity to receive support and appropriate therapy, anyone can gain confidence communicating and create the life they desire. She is excited to be part of the Granite Bay Speech team and is looking forward to making an impact in your loved one’s journey to success.

Noel Manos

Noel Manos, B.S.

Noel received her Bachelor of Science in Speech-Language Pathology and Audiology from the University of Nevada Reno in 2021. After graduation, Noel worked in the related field of applied behavior analysis as a Registered Behavior Technician (RBT) for 3 years.

Read More about Noel!

As an RBT, she provided in-home behavioral therapy for children on the spectrum to increase expressive and receptive language among other cognitive functions, social skills, modifying challenging and severe behaviors, monitoring sensory needs, and improving the children’s overall quality of life and independence. In 2023, Noel was accepted into the Speech-Language Pathology Assistant program at CSU East Bay where she earned her license. Her fieldwork hours were earned at a pediatric outpatient clinic in San Jose where she worked with children ages 2-15 with a variety of diagnoses and diverse cultural backgrounds. Through evidence-based practices, neurodiversity affirming care, and play based (child-led) therapy, she implemented services to diagnoses such as: children with apraxia of speech, Autism Spectrum Disorder (ASD), global development disorder, Attention Deficit Hyperactivity Disorder (ADHD), mixed receptive-expressive language disorder, down syndrome, and a rare chromosomal disorder called Schuurs Hoeijmakers syndrome. She strongly believes in the mission to provide quality services, as well as the importance of collaboration between services in the developmental field and parents. Granite Bay Speech proudly highlights these beliefs, and Noel is excited to be a part of the team!

Outside of work, Noel has quite a few hobbies that she participates in and shares with her fiancé. She enjoys paddle boarding, roller skating, attending music events, hiking, skiing, line dancing, swing dancing, and is an avid movie goer.

Erika Munoz, B.A.

Office Manager

Erika is our incredibly talented Office Manager. She graduated from California State University, Sacramento with a bachelor’s degree in Child Development with a minor in Counseling. During college and for a several years following graduation, Erika entered the field of Applied Behavioral Analysis (ABA) as a behavior technician, working in various settings including schools, in home, and in the clinic setting.

Read More about Erika!

Erika’s superior work as a behavioral technician was recognized by her employer and she was promoted and began working as a Consultant for ABA services. She trained and counseled parents and managed client treatment plans while considering the development of the whole child. She supported staff development and provided advice on improving client services.

Erika is furthering her career as she expands her administrative and management responsibilities. Erika continues to utilize her counseling, parent training and time management skills to benefit the entire team and our families at Granite Bay Speech.