Meet The TLC Team

Jenny Domiano, MOT, LOTR

Founder & Owner

Occupational Therapist

Jenny graduated from Stephen F. Austin State University with a bachelor’s degree in rehabilitation services. She then went on to earn her master's degree from Texas Woman’s University in Houston. Jenny has worked as an occupational therapist for 22 years in a variety of practice areas, including mental health, brain injury rehabilitation, ergonomics, and pediatrics, where she has truly found her calling. She has worked extensively with children at Children's Hospital, as an Early Steps provider, in schools, and at our outpatient clinic. Her pediatric specialties include feeding, sensory processing, handwriting, and behavior modification. Jenny is a mom of two daughters and is committed to working with families to make therapy both enjoyable and more meaningful for the whole family.

Megan Raymond, MOT, LOTR

Therapy Manager

Occupational Therapist

Megan began her journey at TLC in February of 2017. She graduated from Louisiana State University – Baton Rouge with a bachelor's degree in kinesiology. She then earned her master’s in occupational therapy at Louisiana State University Health Sciences Center – Shreveport. She began working as an outpatient pediatric OT at Tulane in 2015. Through her education and experience thus far, Megan has worked in multiple settings with children to improve their functional independence. She has taken continuing education to treat for sensory feeding, torticollis and visual motor difficulties, and uses the Handwriting Without Tears protocol. Megan believes in communicating with families and teachers to facilitate a team-based collaboration. Megan works full-time for TLC, treating virtual clients and managing the TLC clinic, including therapists’ schedules, staffing, and assisting with any problems that arise. She loves spending time with her family, reading, and traveling.

Alex Grandonico, OTD, LOTR

Occupational Therapist

Alex began her journey with TLC in the summer of 2021. She received her bachelor's degree in exercise science at the University of Southern Mississippi. She went on to earn her Doctorate of Occupational Therapy degree at the University of Mississippi Medical Center. Originally from Ocean Springs, MS, she was thrilled to begin her professional career in New Orleans. Alex entered occupational therapy school knowing she wanted to work in pediatrics after completing a pediatric occupational therapy capstone while attending USM. After completing her first fieldwork rotation at TLC, she was ecstatic about the opportunity to begin her career and continue to learn from such amazing therapists! Alex believes in making therapy as fun as possible while also incorporating evidence-based practice into each treatment session. She loves working closely with families to ensure that every child is reaching their full potential. Alex works part-time between the school system and treating individual clients and groups between our Metairie and Elmwood clinics. In her free time, Alex enjoys spending time with friends and family, exercising, traveling to the beach, and going to concerts.

Amanda Uransky, COTA

Occupational Therapy Assistant

Amanda began her journey at TLC as a therapy tech in June 2017. Amanda graduated from Louisiana State University – Baton Rouge with a bachelor’s degree in psychology. She then graduated from the Occupational Therapy Assistant Program at Delgado Community College. During her four years at TLC, Amanda has assisted with handwriting groups, social skills groups, and summer camp programs. Amanda is committed to being a pediatric COTA and helping all children reach their full potential by improving fine motor, gross motor, sensory processing, and social skills. In her free time, Amanda enjoys baking, growing sunflowers, and spending time with her family and friends.

Raymond Noel, MOT/LOTR

Occupational Therapist 

Ray began his journey at TLC in June of 2022. He graduated from Louisiana State University with a bachelor’s degree in psychology before beginning his career in pediatrics in the Greater New Orleans area. His several years of pediatric experience include working closely with clients with autism spectrum disorder and other developmental disorders in the school and home settings. Ray went on to earn his master’s degree in occupational therapy from Louisiana State University Health Sciences Center. His fieldwork rotations ranged from ICU Acute Care to outpatient pediatrics, where he gained experience implementing child-led therapy through a DIR/Floortime model. Ray works full-time between the school system and treating individual clients and groups at our Metairie and Elmwood clinics. When not at work, Ray can be found hanging out with friends and family, playing with his dog, and spending time outdoors gardening.

Annie Reso, COTA

Occupational Therapy Assistant 

Annie began her journey at TLC in February of 2022. She works at the Metairie location with the building blocks program, treats individual clients at both locations, and works within the school system. Annie graduated from the University of New Orleans with a bachelor’s degree in psychology. She then went on to graduate from the Occupational Therapy Assistant Program at Delgado Community College. Annie completed fieldwork in the early intervention setting and at University Medical Center, where she also works part-time now. Annie has worked as a tech in pediatric clinics, where she assisted with handwriting, keyboarding, and gymnastics classes. She also has 3 years of ABA experience. Annie loves to coach gymnastics, cook for her friends and family, and spend time with her nephews.

Danielle Hofman, PT

Physical Therapist

Danielle began her journey with TLC in the spring of 2021. She was born and raised in New Orleans. She is a graduate of Louisiana State University Health Sciences Center and has been a practicing pediatric physical therapist in the Baton Rouge area for over 25 years. She has worked in a variety of settings including outpatient, NICU, Early Steps and the school system. She has experience with a wide variety of diagnoses such as developmental delay, torticollis, cerebral palsy, spina bifida, muscular dystrophy, low muscle tone, autism spectrum disorder, toe-walking, balance and coordination disorders and numerous neurological and orthopedic conditions. She is NDT trained and certified in infant massage. She treats part-time between our Metairie and Elmwood clinics. Danielle’s husband was recently transferred to New Orleans and Danielle is happy to have returned home! They have 4 grown children (all in college) and are enjoying their new empty nest in “The Big Easy”!