What if the next step in your career was simply saying "yes" to yourself? For many clinicians, the idea of starting a private practice feels like a "someday" dream. But for today’s guest, "someday" arrived a lot sooner than she expected — and it completely changed her career.

I’m thrilled to introduce you to Kara Nelson, a pediatric speech-language pathologist, mom, and the founder of Sahuarita Speech Spot, a private practice serving families in a rural-suburban community in Southern Arizona, just 20 miles north of the Mexico border.

Kara specializes in gestalt language processing and neurodiversity-affirming therapy, supporting children from first words through early literacy. She has grown her practice beyond traditional speech therapy by adding reading tutoring, school contracts, and community partnerships, all while raising her family and figuring out how to scale a business without losing the heart of the work. She is a shining example of what happens when you combine clinical expertise with a leap of faith—and she’s been a joy to watch grow from the very first steps of her journey all the way to where she is now.

From working as a speech tech in the schools to building a thriving practice with a brick-and-mortar location and a growing team, Kara’s story proves that private practice isn’t just for the "type A" planners—it’s for anyone willing to go all in.

In this episode, Kara shares how she moved from feeling stuck in the school system to creating a practice that fits her life, her family, and her community.

Kara Nelson has been working in the schools since 2007, starting as a speech language technician before earning her master’s degree from Northern Arizona University. She spent over 15 years in educational settings before realizing she was ready for something different.

A self-described "all or nothing" person, Kara didn’t waffle when the idea of private practice took hold. She started small—mobile and part-time—while continuing to work in early intervention and the schools. But it wasn’t long before her caseload grew, and so did her vision.

Today, Kara runs a busy practice that offers both speech therapy and literacy support out of a permanent location. She’s learned to leverage technology, streamline her systems, and even bring on a team member. And through it all, she’s stayed grounded in her mission: helping kids communicate and connect.

1. How Kara transitioned from school-based work to private practice—and why she knew it was time
2. The value of starting mobile to build momentum without the overhead
3. The unexpected doors that opened—like renting space in a church
4. Her advice for clinicians who are nervous about taking the leap

Kara’s journey is a powerful reminder that you don’t have to have every detail figured out before you start. You just have to begin. Whether it’s gaining confidence to have parents in the room, posting on Facebook to find clients, or deciding to build walls in a leased space—each step builds on the last.

Her story does not have to be the exception. You, too, can create a practice that grows with you—if you’re willing to take the first step.

Want to build a private practice that fits your life—whether you’re type A, type B, or somewhere in between? The Start Your Private Practice Program can give you...

What if your private practice could be a platform for change—for your clients and yourself?

Today’s guest didn't just start a private practice; she built a mission-driven business that blends speech therapy with fierce advocacy. She traded burnout for autonomy and now uses her voice to empower families navigating the complex world of IEPs.

I’m so excited to introduce you to Colleen Ashford, a speech-language pathologist and one of the dedicated clinicians inside our Grow Your Private Practice Program. Colleen is the owner and founder of Ashford Speech and Advocacy PC, a mobile and virtual private practice based in Vista, California where she provides evaluations, treatment, consultations, and advocacy at IEP meetings.

For Colleen, starting her own practice was about more than flexibility and income—it was about authentic, values-driven work. She has created a unique model that allows her to serve early intervention clients and act as a special education advocate, ensuring families are supported at every step.

In this episode, Colleen reveals how leaving the constraints of clinic and school jobs allowed her to design a practice that fits her life, serves her community deeply, and lets her show up as her full, authentic self.

Colleen Ashford is a licensed speech-language pathologist and certified special education advocate. After graduating from the University of Illinois with her bachelor’s and Illinois State University with her master’s, she began her career in a public elementary school with a bilingual program, which fueled her focus on improving her Spanish to better serve her students and families. Love brought her to Southern California, where she worked in multidisciplinary clinics alongside OTs and PTs, learning invaluable lessons about sensory and motor development that inform her holistic approach today.

Now in her full-time practice, Colleen’s areas of focus include AAC, Autism, Childhood Apraxia of Speech, and parent coaching in early intervention. She is passionate about providing culturally responsive early intervention services to the Spanish-speaking population in her own neighborhood. Always an advocate at her core—and now in title—Colleen equips every parent she serves with knowledge of their educational rights and how to navigate the world of special education. Beyond her community, she brings honest conversations about the IEP process to listeners everywhere through her podcast, Unfiltered IEPs.

1. Leaving a "good job" to answer the craving for flexibility and authentic impact
2. The moment she realized her school-based experience was a superpower for families in need
3. Building a hybrid practice with multiple revenue streams, from early intervention to AAC coaching
4. How embracing systems gave her back her time and freedom

Colleen is a powerful example of how you can design a practice that aligns with your deepest values. We are so grateful to have her wisdom and passion in our Grow Program. Her journey proves that with the right tools and community, you can build a career that doesn’t just sustain you, but fulfills you.

Want to build or scale a private practice that fuels your passion and gives you the autonomy you crave—just like Colleen? Discover how our Grow Your Private Practice...

What if your private practice could not only fill a critical gap in your community but also give you the freedom to design your ideal work week? Today’s guest turned a lifelong personal connection into a thriving practice that serves an often-overlooked population, and her journey from side hustle to clinic owner is packed with wisdom!

I’m thrilled to introduce you to Grace Hedgecock, a pediatric speech-language pathologist and the passionate owner of Hedgehog Speech Therapy in Saratoga in the Bay Area in California.

For Grace, private practice was more than a career goal—it was a calling rooted in family. Inspired by her autistic brother, Grace has spent her career specializing in autism, social communication, gestalt language processing, AAC, and supporting autistic teens and young adults with real-life skills in work, relationships, and identity. She is also passionate about literacy after discovering her own dyslexia as an adult.

By embracing flexibility and a client-centered approach, she has built a practice that supports her professional passions and personal well-being, proving you can build a business that fits your life, not the other way around. She serves families through evaluations, therapy, screenings, and neurodiversity-affirming parent coaching.

In this episode, Grace shares how her personal experience shaped her career path, the strategic steps she took to launch her practice, and how she structures her days to avoid burnout.

She is passionate to help children and families understand their unique mind, remove stigma, and grow in confidence. When she’s not in the clinic, Grace enjoys collaborating with her engineer husband on future tech ideas for the field and soaking up time with her dog.

1. The pivotal moment of leaping into full-time private practice, trusting her faith without a clear safety net
2. Strategically using preschool screenings to build trust with schools and generate referrals
3. Designing her ideal schedule to prevent burnout and serve both early intervention and older autistic clients

Grace’s story is a beautiful reminder that your unique experiences are your greatest asset in private practice. We are so inspired by her clarity and heart-centered approach.

Want to build a practice that aligns with your passions and gives you control over your time—just like Grace has? The Start Your Private Practice Program can give you the tools and step-by-step guidance to get started. Learn more at www.StartYourPrivatePractice.com.

Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.

Follow Grace on Instagram: instagram.com/hedgehogspeech/

Check out her website: hedgehogspeech.com