I have worked with children and adults in the NHS and privately and previously worked as outpatient voice therapist for adults and children in the NHS . In my independent practice I see patients/ clients  with the following issues: Voice issues in adults / children, including muscle tension dysphonia and nodules (I also provide Lee Silverman Voice Treatment (LSVT) for patients with Parkinson’s disease who suffer from reduced vocal volume); speech sound disorders in children with speech difficulties such as fronting (producing /t/ and /d/ instead of /k/ and /g/) and lisps, and adults who lisp or have difficulties with the /r/ sound; Accent modification for international clients who wish to improve their English pronunciation and/or vocal projection and presentation skills in order to increase their confidence and naturalness when communicating in English.