Learn About Our Team

Let the healthcare providers at Palmetto SpOT help find the right solution for you. Our commitment to better communication through speech and occupational therapies is enhanced with our team's dedication to developing strategies based on your needs. A convenient location in Summerville with exceptional services adds to the effectiveness of the care we offer you, your family and loved ones.

The Palmetto SpOT Team

Dr. Kristen Bish

Audiologist / CEO

Dr. Kristen Bish is a board-certified Doctor of Audiology. She received her master's degree in Audiology in 1998 from the University of Buffalo. After practicing for five years, she continued her education and received her AuD. degree in 2005. She had been practicing in a small, private office in Mount Pleasant for four years prior to opening Palmetto Audiology and Speech Therapy, now Palmetto SpOT, in 2006.

Outside the office, Dr. Bish enjoys spending time with her husband Darin, her Children Brianna, Connor and Katie and her grandchildren Asher and Josephine.

Andrea Pilch

OTR Occupational Therapist

Andrea is a certified occupational therapist and has practiced since 1998. She is a graduate of the University of South Carolina where she earned two bachelor's degrees in Biology and Psychology. She gained her master's degree in Health Sciences and Occupational Therapy from the Medical University of South Carolina.

She has worked in multiple settings to include acute care, inpatient rehabilitation, home health, and outpatient care. Andrea enjoys spending time with her husband and two children.

Carrie Knighton

MS, OTR/L Occupational Therapist

Carrie is originally from Virginia and attended James Madison University where she received her Bachelor of Science in Health Sciences with a Health Studies concentration. She then attended the Medical University of South Carolina and graduated in 2015 with a Master of Science in Occupational Therapy. Upon graduation, she pursued a career in pediatrics and gained experience in school, outpatient, and home health settings. She is certified by NBCOT and licensed by the state of South Carolina. She has received additional training and education in sensory processing, reflex integration, feeding, executive functioning, and oculomotor skills. During her free time, she enjoys spending time with her family, going to the beach, and playing kickball.

Emily Allen, MA

CCC-SLP Speech
Language Pathologist

Emily received her undergraduate degree from Kent State University in Ohio, with a major in Human Development and Family Studies. After working as an Early Intervention Service Coordinator for three years, Emily returned to school to complete a master's degree in Speech-Language Pathology at The University of Akron. During this time, Emily participated in the Graduate Consortium in Listening and Spoken Language, which focused on auditory-verbal therapy for children and adults who have hearing loss. Upon graduation, Emily moved to Charleston and began her career as a clinical fellow at Palmetto Audiology and Speech Therapy. In her free time, Emily enjoys going to the beach, and she is looking forward to winters with much less snow!!

Dr. Katherine Jones

OTD, OTR/L

Katherine is a board-certified occupational therapist who received her Doctor of Occupational Therapy degree from Methodist University in North Carolina after graduating with a bachelor’s degree in Exercise Science from Winthrop University. Katherine’s graduate research was focused on maternal wellbeing, lactation, parental inclusion in pediatric therapy, and NICU care. She has experience working with children with various diagnoses in both outpatient and school-based settings, as well as adults in acute and home health settings. A Charleston native, she returned to her hometown to help children of all ages and diagnoses learn, play, and grow to their greatest potential. In her free time, Katherine enjoys raising her daughters, traveling to baseball cities for her husband’s job, and doing DIY projects around her house.

Ashley Patton, MS

CCC-SLP Speech
Language Pathologist

Ashley was born and raised right outside Nashville, TN. She earned her Bachelors as well as her Master of Science in Speech Language Pathology from the University of Tennessee. Ashley gained experience in evaluating and treating patients of all ages in schools, geriatric outpatient, and pediatric outpatient settings during her studies. Ashley has a special interest in working with children who stutter, and attends stuttering support groups. In her free time, Ashley enjoys traveling, walking on the beach, doing DIY gifts on her Cricut, and reading. Additionally, Ashley is a big fan of all Tennessee sports teams, especially the Tennessee Vols.

Briana Schell, M.S.

CCC-SLP Clinical Director of Speech Therapy/
Speech-Language Pathologist

Briana Schell, M.S. Ed., CCC-SLP is a licensed and certified speech-language pathologist. She has worked in multiple settings, including home health, tele-practice, and private practice. However, the majority of her experience has been working in outpatient pediatrics. In the early part of her career, Briana worked at a residential school for children presenting with moderate to severe Autism Spectrum Disorder, extensively focusing on providing therapy to enhance the students’ functional and social communication. Her most recent certifications include TOTs (tethered oral tissues) and Natural Language Acquisition (NLA), providing functional communication to children with ASD and delayed echolalia. Briana married her husband, Ryland, an active-duty member of the United States Navy, in 2016. By traveling with him to his various overseas duty assignments, Briana was able to experience working with diverse cultures, including Inuit Tribes of Alaska, Polynesian, Chamorro, Vietnamese, Korean, Japanese, and Micronesian.

Briana gained her Bachelor’s degree in Communication Sciences and Disorders from St. Joseph’s College in Long Island, New York. Subsequently, she received a Master’s of Science in Speech-Language Pathology from The College of Saint Rose in Albany, New York. Through her experiences, Briana has become PROMPT trained and has received a certificate of clinical competence from American Speech-Language-hearing Association.

Briana enjoys exploring new places with her husband and her two rescue dogs, Jaxson and Darla, when she is not practicing speech therapy. Briana also enjoys volunteering at local animal shelters and shopping to relax!

Hayes Graf

CFY-SLP Speech
Language Pathologist

Hayes is originally from Orange Beach, Alabama and graduated from The University of Alabama with her Master of Science degree in Speech-Language Pathology. Her clinical experience in graduate school was primarily with outpatient pediatrics, including feeding therapy and with Augmentative Alternative Communication Devices (AAC). She is currently completing her clinical fellowship at Palmetto SpOT. Hayes' motivation for working in the private clinic setting derives from her personal experience with the positive impact an SLP can have on a family. Her younger brothers were not speaking at age three, and she witnessed first hand the fear and uncertainty this created for her family. Palmetto SpOT allows her to have relationships with her clients as well as their families, keeping parents/guardians updated and involved throughout the entire course of treatment. In her free time, Hayes loves to go outside and soak up the sunshine, whether that involves a walk, hike, trip to the beach, or just sipping coffee on the front porch. She loves to read, sing, play the piano, visit with friends, travel, and experience new things.

Nadia Sabeh Ayon

CF-SLP Speech
Language Pathologist

Nadia Sabeh Ayon grew up in her home country, Lebanon, where she earned her bachelor's degree in Speech and Language Pathology. She worked as a speech-language pathologist in private practice for two years before relocating to Charleston, SC, where her husband is an MD-PhD student at the Medical University of South Carolina. Nadia completed her master's degree in Communication Sciences and Disorders at the University of South Carolina. Her clinical experience spans both pediatric and adult populations across various settings, including private practice, schools, inpatient and outpatient hospital settings, nursing homes, and nurseries. She has provided speech therapy in multiple languages, including English, Arabic, and French. Currently, Nadia is completing her clinical fellowship at the Palmetto SPOT, where she works with both pediatric and adult patients. In her free time, she enjoys shopping and traveling to explore different cultures.

Monica Russell

COTA-L

Born and raised in South Carolina, Monica was first introduced to pediatrics through ABA. After working in Behavioral therapy for eight years and co-treating with Occupational Therapy, she decided to pursue a career in this field. She completed the OTA program at Trident Technical College in 2017. She enjoys family movie nights with her son and nephews and crafting and DIY home projects. "My goal in life is to aid as many children as I can in finding their way in the world!"

Morgan Serwat

Speech Therapist

Originally from Chicago, Morgan is a northerner turned southern when she received her undergraduate degree from Clemson University and Master's degree in Speech-Language Pathology from the University of Georgia. She has always had an interest in helping others and became a speech pathologist to achieve that goal. Before joining Palmetto Spot, she worked in private practices, schools, and hospitals outside of Atlanta, Georgia. Morgan's passion lies with supporting clients with Alternative and Augmentative Communication (AAC) devices, feeding difficulties, and complex communication needs. However, she has experience in treating both pediatric and adult clients with a variety of diagnoses. Morgan holds her Certificate of Clinical Competence and is licensed by the South Carolina Department of Labor, Licensing and Regulation Board of Examiners in Speech-Language Pathology. Morgan is also Beckman Oral Motor Training certified. On her time off, Morgan enjoys trying new recipes in the kitchen, reading, traveling to new cities, and running. She looks forward to meeting and supporting the families at Palmetto Spot to meet their communication and feeding goals!

Angel Sherrod

Certified Occupational Therapy Assistant

Angel Sherrod is a Certified Occupational Therapy Assistant and a South Carolina native. She earned her degree from Trident Technical College in 2022. She has worked in multiple settings including outpatient and acute care. In her free time, Angel enjoys reading, cheering on the Clemson Tigers, and spending time with her family.

Savannah Fletcher

Occupational Therapy Assistant

Savannah is a Certified Occupational Therapy Assistant, graduated from Tirdent Techincal college here in South Carolina. Originally from West Michigan, Savannah has lived here in Summerville since 2018. She has experience in both Pediatric Outpatient and School settings, as well as Geriatric inpatient rehabilitation. Outside of work, Savannah enjoys spending time with her family outside, creating new sewing projects, and searching for good gluten free restaurants around CHS.

Lydia Walker

COTA

Lydia Walker was born and raised Mississippi! She is a certified Occupational Therapy Assistant and a recent graduate. Lydia loves working with her pediatric caseload. She is a huge fan of the Ole Miss Rebels!

Rebecca McDonald

COTA-L

Rebecca graduated from Trident Technical College in Charleston, SC, and became a licensed, board-certified Occupational Therapy Assistant in 2022. With a true passion for pediatric care, Becca enjoys creating engaging activities that promote developmental and motor skills, sensory integration, and independence in daily tasks through creative, personalized interventions. Committed to fostering a supportive environment, Becca values working closely with families and caregivers to achieve holistic care and optimal outcomes for her young clients.

Outside of work, Becca enjoys spending time with her husband and dog, spending summer weekends on the boat with friends, puzzling, and hand-knitting chunky blankets for friends and family.

Madison D'Elia

M.S., CF-SLP

Madison is a Speech-Language Pathology Clinical Fellow and Certified Lactation Counselor who is passionate about supporting infants and families through feeding and lactation challenges. She has a special interest in infant feeding, breastfeeding support, and early swallowing development, and has experience serving families across a variety of pediatric and medical settings.

Madison earned her Bachelor’s degree in Communication Sciences and Disorders from Appalachian State University and her Master of Science in Speech-Language Pathology from University of Scranton. Originally from Pennsylvania, she recently relocated to the Charleston area and is excited to serve families in the Lowcountry. Outside of work, Madison enjoys traveling, spending time at the beach, running, and being with her family.

Allison Kosinski

M.A. CF-SLP

Originally an Ohio native, Allison completed her undergraduate degree at Ohio University and went on to earn a Master’s Degree in Speech Pathology from Cleveland State University. She relocated to South Carolina to compete her fellowship and to enjoy the beautiful sunny weather. In my free time, she enjoys spending quality time with family and friends, experimenting in the kitchen, taking pilates classes, and making the most of beach days.

Cameron Boyce

M.S., CF-SLP

Cameron Boyce is completing her clinical fellowship at Palmetto SpOT. Originally from Greenville, South Carolina, she’s enjoyed living in many parts of the state. Her passion for working with children led her to earn a bachelor’s degree in Elementary Education from Clemson University, followed by a master’s degree in Speech-Language Pathology from the University of South Carolina—where she also discovered a love for helping adults.

Cameron has worked with individuals across all ages in a variety of settings, including schools, community clinics, rehabilitation hospitals, private practices, and long-term acute care facilities. She is currently pursuing specialized training in Natural Language Acquisition and working toward national certification in speech-language pathology.

In her free time, Cameron enjoys reading, baking, and exploring new places with friends. She’s excited to build a life in the Lowcountry and become part of the Summerville and Charleston community.

Amy Elgin

MSOL, OTR/L BCP

For nearly three decades, Amy has helped children and families turn everyday challenges into opportunities for growth, confidence, and independence as a pediatric occupational therapist. She has worked across multiple areas of practice, including outpatient clinics, early intervention, home health, and school-based programs. In addition to her clinical work, she has also held numerous leadership roles within pediatric therapy organizations, including serving as a Senior Partner, Clinical Lead, Clinical Director, and Chief Operating Officer. These experiences helped shape a comprehensive perspective on pediatric therapy, blending clinical expertise with leadership and collaboration to better support children, families, and the teams who serve them.

Amy received her occupational therapy degree from Thomas Jefferson University and later went on to earn a Master of Science in Organizational Leadership, reflecting her commitment to both high-quality clinical care and strong collaborative therapy teams. She also holds the distinction of being Board Certification in Pediatrics through the American Occupational Therapy Association (AOTA) since 2008.

Over her career, she has pursued extensive continuing education and advanced professional development focused on pediatric feeding disorders, sensory processing differences, and the complex developmental needs of children. She has had the privilege of working with hundreds of children and families, helping them navigate picky eating, sensory challenges, big emotions, and developmental delays.

Amy moved to Charleston in 2015 and loves being part of the Lowcountry community. Outside the clinic, she enjoys spending time with her husband Tim and their children, Andy and Ava. She also runs a small creative business, Little Blue Pig Designs, where her love for watercolor and handmade art comes to life and often inspires the creativity she brings to her work with children.

Amy is known for creating a therapy environment where children feel comfortable, families feel supported, and progress feels possible.

Kalee Shortreed

COTA/L

Hi! I'm a 27-year-old Pediatric Occupational Therapy Assistant, from Hanahan, SC. I have a passion about helping children grow, learn and gain confidence through play-based therapy. I love creating fun, engaging activities that support each child's unique development and enjoy building strong, meaningful connections with the families I work with.

I attended Southeastern College, where I developed the skills and knowledge needed to support children across a variety of developmental areas as an OTA.

Outside of work, I enjoy reading, thrifting, getting creative with crafts, making fun drinks, traveling, and spending time outdoors. I also love expressing myself through tattoos and spending time with cat, Ozzy.

Jessica McCants

COTA

Jessica McCants is a compassionate Certified Occupational Therapy Assistant (COTA) who proudly serves children and families in Charleston, South Carolina—her hometown. With a background in preschool special education, Jessica brings a deep understanding of early childhood development and a genuine love for helping children grow, learn, and thrive.

At Palmetto SpOT, Jessica specializes in pediatric therapy, with a passion for sensory integration and fine motor skill development. She is dedicated to creating fun, engaging, and supportive environments where children feel safe, confident, and celebrated for who they are. Jessica believes in meeting each child where they are and partnering closely with families to support meaningful progress every step of the way.

When she’s not working, Jessica enjoys spending time with her husband and their three boys. Whether at home or cheering from the sidelines at the baseball field, she treasures every moment with her family and brings that same warmth, energy, and encouragement into her work with the children she serves.

Haley Schaller

MS, CCC-SLP

I am originally from PA and received my undergraduate and graduate degree from Clarion University of Pennsylvania. After graduating, I moved south to complete my Clinical Fellowship and to find warmer weather. Currently, in addition to seeing kiddos at SpOT, I work with older adults/geriatrics via home visits and telehealth. I am looking forward to continuing to gain experience in the pediatric setting. In my free time, I enjoy traveling, camping, running, and reading.

Isabelle Fransen

M.A. CF-SLP

Isabelle is originally from Iowa, where she earned her degree in Speech-Language Pathology from the University of Northern Iowa. She recently relocated to the Charleston area and is excited to continue to grow her clinical knowledge and help her patients grow into confident communicators!

Isabelle has a special interest in swallowing disorders, cognitive-communication disorders, AAC, and speech sound production. Isabelle enjoys working with individuals across the lifespan to help improve their communication skills and eat safely.

In her free time, Isabelle is a certified group fitness instructor, enjoys spending time at the beach, shopping, and being with friends and family.

Joseph Hayden Haynie

COTO/L

Certified Occupational Therapy Assistant with over 11 years of experience across both pediatric and adult settings. Uses a laid-back, approachable style while staying focused on meaningful, results-driven outcomes for my clients. I am passionate about helping individuals build independence and improve their quality of life through practical, personalized care.

Heather Fludd

COTA

Heather Fludd joined our team, here at SpOT, in November of 2024. She has been providing Occupational Therapy services to a variety of clients for almost 25 years. Heather began her career working with preschool and school aged children in a daycare setting. She has worked in diverse settings and with diverse populations throughout her career. She returned to pediatrics work and found a dynamic and dedicated staff here at SpOT. She is a devoted mother (and homeschool teacher) of a sixteen-year-old boy and has been married to her sweetheart since 2009. She has used her OT background working with homeschool families and communities on a volunteer basis.

She has a small homestead that she runs with her family to include a large garden, chickens and ducks. Her furry children include 3 dogs and a cat. Heather values her faith, time with family, hard work and still finds time to have fun. When asked what she likes best about working at SpOT, she shares, "I am truly honored and privileged to have the opportunity to make a difference in the lives of the children and families I work with. Thank you for allowing me to serve your family.