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Digital Seminar

Oral Care Essentials from the Geriatric Toothfairy: Barriers, Diseases, Dentures, Medications & More!


Speaker:
Sonya Dunbar, MPH, RDH
Duration:
1 Hour
Format:
Audio and Video
Copyright:
Sep 27, 2024
Product Code:
POS078865


Description

As life expectancy for Baby Boomers increases and they retain their natural teeth, it is imperative for healthcare professionals to possess comprehensive knowledge of the diverse dental requirements of elderly individuals. Geriatric dentistry provides oral care to older patients, many of whom necessitate the diagnosis, management, prevention, and treatment of age-related dental problems. The U.S. Surgeon General has emphasized that older Americans are affected by a "silent epidemic" of significant, consequential dental health issues.

An unspoken crisis of oral diseases is impacting older adults in long-term care facilities, with frail elderly individuals enduring inadequate and neglected oral care silently. This course will address the oral health status of compromised elderly individuals and the correlation with both oral and systemic health. Sonya Dunbar MPH, RDH, will share methods and rationale for oral care to residents on ventilators, feeding tubes, and those in a comatose state.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 1.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Social Workers - Social Workers - National ASWB ACE

PESI, Inc., #1062, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 1.0 Clinical continuing education credits.

 

Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - Alabama Social Workers

CE credit is available for 1.0 continuing education hours for Alabama Social Workers. Please see national social work approvals for this program.


Social Workers - Alaska Social Workers

CE credit is available for 1.0 continuing education hours for Alaska Social Workers. Please see national social work approvals for this program.


Social Workers - Arizona Social Workers

CE credit is available for 1.0 continuing education hours for Arizona Social Workers. Please see national social work approvals for this program.


Social Workers - Arkansas Social Workers

This course consists of 1.0 continuing education contact hours for Arkansas Social Workers and is designed to meet the continuing education requirements of the State of Arkansas Department of Health Social Work Licensing Board (Ark. Code Ann. §17-103-203). Please retain the course advertisement and certificate of completion for your CE records.


Social Workers - California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 1.0 clock hours of continuing education instruction.


Social Workers - Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 1.0 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: If you did not answer YES to be reported to the Colorado Chapter of the NASW on the evaluation, please contact cepesi@pesi.com and provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


Social Workers - Connecticut Social Workers

CE credit is available for 1.0 continuing education hours for Connecticut Social Workers. Please see national social work approvals for this program.


Social Workers - Delaware Social Workers

CE credit is available for 1.0 continuing education hours for Delaware Social Workers. Please see national social work approvals for this program.


Social Workers - District of Columbia Social Workers

CE credit is available for 1.0 continuing education hours for District of Columbia Social Workers. Please see national social work approvals for this program.


Social Workers - Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 1.0 continuing education credits. 


Social Workers - Georgia Social Workers

CE credit is available for 1.0 continuing education hours for Georgia Social Workers. Please see national social work approvals for this program.


Social Workers - Hawaii Social Workers

CE credit is available for 1.0 continuing education hours for Hawaii Social Workers. Please see national social work approvals for this program.


Social Workers - Idaho Social Workers

CE credit is available for 1.0 continuing education hours for Idaho Social Workers. Please see national social work approvals for this program.


Social Workers - Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 1.0 contact hours.


Social Workers - Indiana Social Workers

CE credit is available for 1.0 continuing education hours for Indiana Social Workers. Please see national social work approvals for this program.


Social Workers - Iowa Social Workers

CE credit is available for 1.0 continuing education hours for Iowa Social Workers. Please see national social work approvals for this program.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 1.0 continuing education hours.


Social Workers - Kentucky Social Workers

CE credit is available for 1.0 continuing education hours for Kentucky Social Workers. Please see national social work approvals for this program.


Social Workers - Maine Social Workers

This course consists of 1.0 continuing education contact hours for Maine Social Workers and is designed to meet the continuing education requirements of the Maine State Board of Social Work Licensure (Rule 416, Chapter 14(1)(1)). Please retain the course advertisement and certificate of completion for your CE records.


Social Workers - Massachusetts Social Workers

CE credit is available for 1.0 continuing education hours for Massachusetts Social Workers. Please see national social work approvals for this program.


Social Workers - Michigan Social Workers

CE credit is available for 1.0 continuing education hours for Michigan Social Workers. Please see national social work approvals for this program.


Social Workers - Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 1.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - Missouri Social Workers

CE credit is available for 1.0 continuing education hours for Missouri Social Workers. Please see national social work approvals for this program.


Social Workers - Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 1.0 clock hours of instruction.


Social Workers - Nevada Social Workers

CE credit is available for 1.0 continuing education hours for Nevada Social Workers. Please see national social work approvals for this program.

 


Social Workers - New Hampshire Social Workers

CE credit is available for 1.0 continuing education hours for New Hampshire Social Workers. Please see national social work approvals for this program.


Social Workers - New Mexico Social Workers

CE credit is available for 1.0 continuing education hours for New Mexico Social Workers. Please see national social work approvals for this program.


Social Workers - New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 1.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers - North Dakota Social Workers

CE credit is available for 1.0 continuing education hours for North Dakota Social Workers. Please see national social work approvals for this program.


Social Workers - Ohio Social Workers

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 1.0 clock hours of general continuing education. Tracking number: 20-1260591


Social Workers - Oklahoma Social Workers

CE credit is available for 1.0 continuing education hours for Oklahoma Social Workers. Please see national social work approvals for this program.


Social Workers - Oregon Social Workers

CE credit is available for 1.0 continuing education hours for Oregon Social Workers. Please see national social work approvals for this program.


Social Workers - Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level self-study activity consists of 1.0 clock hours of continuing education instruction.


Social Workers - Rhode Island Social Workers

CE credit is available for 1.0 continuing education hours for Rhode Island Social Workers. Please see national social work approvals for this program.


Social Workers - South Carolina Social Workers

CE credit is available for 1.0 continuing education hours for South Carolina  Social Workers. Please see national social work approvals for this program.


Social Workers - South Dakota Social Workers

CE credit is available for 1.0 continuing education hours for South Dakota Social Workers. Please see national social work approvals for this program.


Social Workers - Texas Social Workers

CE credit is available for 1.0 continuing education hours for Texas Social Workers. Please see national social work approvals for this program.


Social Workers - Vermont Social Workers

CE credit is available for 1.0 continuing education hours for Vermont Social Workers. Please see national social work approvals for this program.


Social Workers - Virginia Social Workers

CE credit is available for 1.0 continuing education hours for  Virginia Social Workers. Please see national social work approvals for this program.


Social Workers - Washington Social Workers

CE credit is available for 1.0 continuing education hours for Washington Social Workers. Please see national social work approvals for this program.


Social Workers - Wisconsin Social Workers

CE credit is available for 1.0 continuing education hours for Wisconsin Social Workers. Please see national social work approvals for this program.


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.0 contact hours. Expires: 08/21/2027.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 10504. This Distance Learning-Independent is offered at .1  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Full attendance at this Distance Learning-Independent activity qualifies for 1.0 contact hours.

 


Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 1.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 1.0 self-study continuing education credits.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 1.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 1.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 1.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 1.2 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 1.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 1.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 1.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2706032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Advanced. This activity will provide 1.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 1.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 1.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 1.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Speech-Language Pathologists & Audiologists - Speech-Language Pathologists & Audiologists

This course contains 1.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


Speech-Language Pathologists & Audiologists - California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 1.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Speech-Language Pathologists & Audiologists - Florida Board of Speech-Language Pathology and Audiology

PESI, Inc. is an approved provider with the Florida Board of Speech-Language Pathology and Audiology. Provider Number: 50-399. This self-study course qualifies for 1.0 continuing education credits. 


Speech-Language Pathologists & Audiologists - Kansas Speech-Language Pathologists

Approved for 1.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Physicians - Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 09/27/2024. It was last reviewed on 08/01/2027 and is valid until 08/01/2027.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Other Professions

This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Sonya Dunbar, MPH, RDH's Profile

Sonya Dunbar, MPH, RDH Related seminars and products


Sonya Dunbar, MPH, RDH, AKA the Geriatric Toothfairy, is a Registered Dental Hygienist, TEDx, and international public speaker guided by over 30 years of dental experience in private practice, skilled nursing facilities, and academia. Sonya and her husband, Gerald Dunbar, are the owners of Mobile Dental Xpress, providing comprehensive dental care to long-term care facilities. In addition, Sonya is a Geriatric Oral Care Educator and trainer. Sonya works diligently to educate as many people as possible on the importance of oral health as we age. Sonya is a US Navy Veteran and is pursing a PhD in Gerontology.

Sonya is a serial entrepreneur, podcast co-founder, brand ambassador with over 100k social media followers, business coach, and mindset coach for business owners and entrepreneurs.

Sonya Dunbar has authored Golden Nuggets for Life, and co-authored The Tooth and Nothing but the Truth, A Geriatric Dental Hygienist and Geriatric Dentist’s Guide to Oral Care for the Aging Population, and An Introduction to Mobile & Teledentistry: How Technology, Consumer Demand & Prevention Are Shaping the Future of Dentistry.

Sonya is also a recipient of the 2020 Philips Heart to Hands Award and the 2022 Sunstar Award. As if that is not enough, the National Day Archives, LLC has proclaimed November 9th of each calendar year as Geriatric Toothfairy Day.


Speaker Disclosures:
Financial: Sonya Dunbar has an employment relationship with Mobile Dental Xpress. She receives royalties as a published author. Sonya Dunbar receives royalties as a published author and receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Sonya Dunbar is a member of the American Dental Hygiene Association.

 


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Analyze the diverse demographics of residents in long-term care facilities and the specific barriers they face in accessing quality oral care.
  2. Explore the impact of chronic diseases such as cardiovascular disease, dementia, arthritis, and aspiration pneumonia on the oral health of older adults.
  3. Investigate common oral health problems in older adults, including dental caries, periodontal disease, and oral cancer, and their implications for overall health and quality of life.
  4. Learn best practices to maintain oral hygiene including proper denture care, addressing the effects of medications, and integrating oral care into daily living activities.

Outline

Barriers to Oral Care
  • Access to dental services: Financial constraints, lack of transportation, and limited availability of dental professionals
  • Oral health awareness amongst residents and caregivers
  • Physical and cognitive limitations: Mobility issues, dementia, and other cognitive impairments that hinder oral hygiene practices
Long-Term Care Facilities Statistics and Activities of Daily Living (ADLs)
  • Prevalence of dental caries, periodontal disease, and edentulism (tooth loss)
  • Frequency of dental visits and professional oral care provided in these settings
  • Challenges in integrating oral care into daily routines for long-term care residents
  • Role of caregivers in supporting oral hygiene practices
  • Aspiration Pneumonia
Chronic Diseases & The Impact on Oral Health
  • Cardiovascular disease
  • Dementia
  • Arthritis
  • Aspiration Pneumonia
Oral Manifestations in Older Adults
  • Dental caries: Prevalence, risk factors, and complications of untreated dental caries
  • Oral cancer: Risk factors, symptoms, and the importance of early detection
  • Periodontal disease: Impact on systemic health and quality of life
Denture Care
  • Proper denture hygiene: Preventing infections, sores, and other complications
  • Denture maintenance: Cleaning techniques, fitting adjustments, and common issues
  • Role of caregivers: Educate and assist residents in maintaining their dentures
Medication Effects on Oral Care
  • Xerostomia (dry mouth) caused by antihypertensives, antidepressants, and other medications
  • Mitigation strategies: Hydration, saliva substitutes, and regular dental check-ups
Quality of Life (QOL)
  • Physical health: Nutrition, pain, and infection
  • Psychological health: Self-esteem, social interactions, and mental health
  • Improve QOL through better oral care: Role of integrated care approaches, policy changes, and education

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Social Workers
  • Physicians

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