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About Us

When your child's language is delayed, it's normal to wonder about the future


Will your child...

"Catch up"? 

Be able to tell you about their day?

Have meaningful friendships?

Be academically successful?

You just want to make sure they have the support they need 

Because your greatest wish is that your child lives a life where they feel happy and fulfilled — and become the absolute best version of themselves.


Over the last 15 years, we’ve helped hundreds of children unlock their language potential

Language is the key to your child’s growth. By identifying gaps and building essential skills from the ground up, we help your child lay the strongest possible foundation for lifelong learning and development.

Our core values

We believe that every child’s language journey should be engaging and joyful.


Every child is unique and requires an individualized approach to therapy to ensure the best possible outcomes.


Collaborative efforts between the therapist and parents are essential in achieving the best results for the child's speech development.


We equip parents with the tools they need to actively participate in their child's progress and make informed decisions. 


Children make sense of their world through play, so we use play as the vehicle to support your child’s language development.


Progress is not solely defined by outcomes, but also by the incremental victories and milestones reached along the way. 


We foster a positive environment where  every achievement, no matter how small, is acknowledged and celebrated.

Meet Arefa Mohamed

Founder of Key to Growth Therapy


Arefa brings over 15 years of experience across clinical, school-based, and private therapy settings. After earning her Master of Arts degree in Speech-Language Pathology from CUNY Queens College, a leading program in the field, she dedicated her career to working in NYC schools specialized in addressing language-based learning challenges. 


Her roles have been diverse and include serving as a department head for five years. During this time, she not only spearheaded innovative play-based programs but also implemented comprehensive assessment processes to ensure more targeted and impactful treatment plans. Throughout her career, she has collaborated closely with occupational therapists, physical therapists and counselors, embracing an interdisciplinary approach that extends well beyond traditional speech-language therapy. 


Arefa's expertise encompasses speech and language delays, autism spectrum disorder, learning disabilities, and ADHD. Recognized as an expert in her field, she has presented on a wide range of language-based topics for both educational staff and parents.

Arefa Mohamed Photo .jpg

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  • How do I know if my child needs speech-language therapy?
    Let's chat with a complimentary phone call or Zoom session. This initial conversation, lasting 15 to 20 minutes, gives us a chance to learn about your child's language skills, address your concerns, and guide you on what to do next. This might mean setting up an in-person meeting or planning an evaluation.
  • What if my pediatrician says to “wait and see”?
    If you're worried about your child's language development and your pediatrician recommends a "wait and see" approach, it's still beneficial to seek a consultation. Early intervention is key in language development, as skills build progressively. Speech-language therapists can give you clear answers as well as ways to help your child now — and have a significant positive impact on your child's long-term language abilities.
  • How often and for how long will my child attend sessions?
    How often and how long your child will need speech-language therapy varies based on their unique needs and challenges. After evaluating your child's language abilities, we typically recommend therapy sessions ranging from once to three times a week, with each session lasting up to 45 minutes. The overall duration of therapy is influenced by several factors, including the nature and severity of your child’s language challenges, additional support services they might be receiving (like other therapies or tutoring), and how consistently language strategies are reinforced at home. For instance, children on the autism spectrum might require ongoing support, whereas those with specific articulation delays could see improvement within a shorter time frame.
  • What’s the difference between a screening and an evaluation?
    A screening is an abbreviated assessment of your child's speech, language, and communication skills. Conducted in a relaxed setting, often through playful interaction, it involves talking with you and watching how your child communicates naturally. From this screening, we decide if further evaluation is needed or if your child's language development is on track. In cases of mild delays, we recommend therapy sessions and at-home strategies. However, if we spot anything concerning, we'll suggest a thorough evaluation, with the cost of the screening going towards this next step. An evaluation, on the other hand, dives deep into your child’s abilities to listen, speak, and interact. It starts with you providing a rich picture of your child's history and development. We use a mix of standardized tests, scales, and observations, along with input from caregivers, therapists, and teachers when possible. After the evaluation, you'll receive a detailed speech-language report within two weeks. This report breaks down everything from performance scores to language abilities, highlighting strengths, challenges, and specific recommendations for moving forward. It outlines clear treatment goals and offers advice on techniques and strategies to help your child improve.
  • What if we’ve already completed an evaluation?
    If you already have a recent evaluation (within the last 6 months) that details your child's strengths, challenges, and goals, we can certainly work with that. This allows us to jumpstart the process, building on the insights and recommendations already identified.
  • What is the cost? Do you accept insurance?
    Session rates vary from $175 to $300, depending on session length and travel distance. We do not accept insurance. If you have out-of-network coverage through your carrier, we supply the documentation you need for insurance submissions. Before you book with us, we recommend speaking with your insurance carrier to understand your coverage and any potential out-of-pocket expenses.

What people are saying

“So much compassion for
each child she works with”

Arefa is truly a wonderful human being who has so much compassion for each child she works with. I had the joy of working alongside Arefa in a school setting. Arefa was consistent in her approach and her creativity to meet each student where they were at. Her deep understanding of pragmatic language made her super effective working with our students on the autism spectrum. Her positive demeanor and fun affect truly allow her to connect with students of all ages. She is really a gem and I miss working with her all the time!


- Barbara Finnegan

“Wealth of knowledge in the
field of Speech and Language”

As an occupational therapist, I've worked side by side with Arefa and shared clients with her for several years working in a school setting as well as running a Sensory/Social Skills group together. She has a wealth of knowledge in the field of Speech and Language. I've witnessed her be an amazing advocate for the families she works with and will continue to refer and recommend Arefa to anyone looking for an experienced Speech and Language Therapist.

Andria Procopio

“Her ability to connect is truly impressive”

Arefa is such a talented professional and I’ve had the pleasure of working closely with her for several years at LearningSpring School. Her knowledge and ability to connect with students of all ages is truly impressive, and she approaches her practice through a developmental lens that’s centered around the child. She’s wonderful to work with and has so much to share!


- Julia Tchoi

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