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    <lastmod>2025-04-06</lastmod>
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    <loc>https://www.northstarslpc.com/blog/introducing-neurodiversity-affirming-occupational-therapy</loc>
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    <lastmod>2025-04-07</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Introducing Neurodiversity-Affirming Occupational Therapy - Make it stand out</image:title>
      <image:caption>North Star’s sensory room in the upstairs office at North Star in the Point Loma area of San Diego includes a sensory swing, trampoline, crash pad, and quiet corner.</image:caption>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Introducing Neurodiversity-Affirming Occupational Therapy - Make it stand out</image:title>
      <image:caption>North Star’s fine motor space in our upstairs office is perfect for child-led art activities such as painting, gluing, and cutting.</image:caption>
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    <lastmod>2025-04-06</lastmod>
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    <lastmod>2023-09-20</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Looking for an alternative to traditional school? Consider a charter school! - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.northstarslpc.com/blog/the-impact-of-ear-infections-on-speech-language-development</loc>
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    <lastmod>2023-05-23</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Impact of Ear Infections on Speech-Language Development - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Impact of Ear Infections on Speech-Language Development - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.northstarslpc.com/blog/echolalia-your-child-is-trying-to-tell-you-something</loc>
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    <lastmod>2023-02-24</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Echolalia - Your child is trying to tell you something! - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.northstarslpc.com/blog/an-interview-with-cara-from-paper-boat-autism-library</loc>
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    <priority>0.5</priority>
    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - How an Instagram friend changed my perspective on autism</image:title>
      <image:caption>Cara, Paper Boat Autism Acceptance Library, Hattiesburg, MS</image:caption>
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    <loc>https://www.northstarslpc.com/blog/3-reasons-your-toddler-is-tantruming</loc>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - 3 Reasons Your Toddler is Tantruming</image:title>
      <image:caption>A young boy cries as his mother hugs him and kisses his forehead</image:caption>
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    <loc>https://www.northstarslpc.com/blog/top-5-games-6-to-10-years</loc>
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    <priority>0.5</priority>
    <lastmod>2020-12-17</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Top 5 Tabletop Games for 6- to 10-Year-Olds</image:title>
      <image:caption>Dr. Katherine, a pediatric speech-language therapist, holds a pink ball above a ball toy and smiles at a child. The child, a one-year-old in a pink shirt, looks at the ball andholds another green ball in her right hand. The speech-language pathologist and child sit on the floor.</image:caption>
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    <loc>https://www.northstarslpc.com/blog/top-5-games-4-to-6-years</loc>
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    <lastmod>2020-12-17</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Top 5 Board Games for 4 to 6 Year Olds</image:title>
      <image:caption>Dr. Katherine, a pediatric speech-language therapist, holds a pink ball above a ball toy and smiles at a child. The child, a one-year-old in a pink shirt, looks at the ball andholds another green ball in her right hand. The speech-language pathologist and child sit on the floor.</image:caption>
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  <url>
    <loc>https://www.northstarslpc.com/blog/top-5-toys-36-months</loc>
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    <priority>0.5</priority>
    <lastmod>2020-12-16</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Top 5 Toys for Your 3-Year-Old</image:title>
      <image:caption>Dr. Katherine, a pediatric speech-language therapist, holds a pink ball above a ball toy and smiles at a child. The child, a one-year-old in a pink shirt, looks at the ball andholds another green ball in her right hand. The speech-language pathologist and child sit on the floor.</image:caption>
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  <url>
    <loc>https://www.northstarslpc.com/blog/top-5-toys-24-months</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2020-12-16</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Top 5 Toys for Your 2-Year-Old</image:title>
      <image:caption>Dr. Katherine, a pediatric speech-language therapist, holds a pink ball above a ball toy and smiles at a child. The child, a one-year-old in a pink shirt, looks at the ball andholds another green ball in her right hand. The speech-language pathologist and child sit on the floor.</image:caption>
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    <lastmod>2020-12-16</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Top 5 Toys for Your 1-Year-Old</image:title>
      <image:caption>Dr. Katherine, a pediatric speech-language therapist, holds a pink ball above a ball toy and smiles at a child. The child, a one-year-old in a pink shirt, looks at the ball andholds another green ball in her right hand. The speech-language pathologist and child sit on the floor.</image:caption>
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    <loc>https://www.northstarslpc.com/blog/specialist</loc>
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    <lastmod>2021-01-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Benefits of Working with a Specialist in Pediatric Speech-Language Therapy</image:title>
      <image:caption>Dr. Katherine, pediatric speech-language pathologist, sits on the floor with 6-year-old girl looking at a book.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1602282578251-21U2GRB67GWGQ5KW5XEZ/Pie+chart+demonstrating+generalist+speech-language+therapist+knowledge+in+many+areas</image:loc>
      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Benefits of Working with a Specialist in Pediatric Speech-Language Therapy</image:title>
      <image:caption>Generalists know a little about a lot. They need to keep their knowledge up-to-date in many skill areas.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1602282685001-N4LOCPRS6CS8XF22HY3Q/Pie+chart+demonstrating+speech-language+therapist+knowledge+in+only+4+areas</image:loc>
      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Benefits of Working with a Specialist in Pediatric Speech-Language Therapy</image:title>
      <image:caption>Specialists know a lot about a little. We have deep knowledge about a fewer number of topics.</image:caption>
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    <image:image>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - The Benefits of Working with a Specialist in Pediatric Speech-Language Therapy</image:title>
      <image:caption>Pediatric speech-language pathologist sits on floor with two-year-old girl</image:caption>
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    <loc>https://www.northstarslpc.com/blog/aac</loc>
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    <lastmod>2020-10-10</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Augmentative and Alternative Communication (AAC)</image:title>
      <image:caption>Image from: https://liberator.net.au/news/when-should-we-start-using-high-tech-aac.html</image:caption>
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    <loc>https://www.northstarslpc.com/blog/insurance</loc>
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    <lastmod>2023-07-26</lastmod>
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    <loc>https://www.northstarslpc.com/blog/sign-language</loc>
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    <priority>0.5</priority>
    <lastmod>2020-12-19</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Should I use sign language with my child?</image:title>
      <image:caption>Toddler sits in front of graffiti picture holding a red balloon.</image:caption>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - How Does Online Therapy Work?</image:title>
      <image:caption>Online therapy makes it easy to share written information via screen share while you practice skills with your child during everyday activities like mealtime.</image:caption>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - How Does Online Therapy Work? - With online speech-language therapy, you can improve your child’s speech-language skills in your own home with North Star’s parent coaching.</image:title>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Speech-Language Therapy During a Pandemic</image:title>
      <image:caption>A mother sits on a couch and holds a baby; a toddler sits on the couch next to them; the family looks at an iPad</image:caption>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - How long does therapy take?</image:title>
      <image:caption>A wooden and glass hourglass on a white table with white bricks in the background</image:caption>
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    <loc>https://www.northstarslpc.com/blog/bilingualism</loc>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Bilingualism</image:title>
      <image:caption>A young girl hugs a toddler boy; they sit on the ground</image:caption>
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    <loc>https://www.northstarslpc.com/blog/importance-of-caregiver-involvement-in-therapy</loc>
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    <priority>0.5</priority>
    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Importance of Caregiver Involvement in Therapy</image:title>
      <image:caption>A father holds a toddler boy and kisses him on the cheek; the toddler smiles</image:caption>
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    <loc>https://www.northstarslpc.com/blog/what-is-a-first-word</loc>
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    <priority>0.5</priority>
    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - What is a first word?</image:title>
      <image:caption>A toddler boy sits on the sand</image:caption>
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    <loc>https://www.northstarslpc.com/blog/what-is-intelligibility</loc>
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    <priority>0.5</priority>
    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - What is intelligibility?</image:title>
      <image:caption>Wooden blocks with multi-colored letters on the sides</image:caption>
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    <loc>https://www.northstarslpc.com/blog/how-children-learn-language</loc>
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    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - How Children Learn Language</image:title>
      <image:caption>Green grass in foreground, house in background</image:caption>
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    <loc>https://www.northstarslpc.com/blog/resources-for-parents</loc>
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    <priority>0.5</priority>
    <lastmod>2021-06-02</lastmod>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Resources for Parents</image:title>
      <image:caption>A stack of books with multi-colored covers</image:caption>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Resources for Parents - Wind-up toys</image:title>
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      <image:title>Blog | Pediatric speech-language therapy, San Diego, CA | Speech-language delay/impairment, autism - Resources for Parents - Melissa and Doug sound puzzles</image:title>
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      <image:title>Home</image:title>
      <image:caption>What is speech-language therapy? Speech-language pathologists (SLPs) are experts in communication. At North Star, our pediatric specialists work with children who have difficulty with communication, including saying sounds correctly, using appropriate words or sentences, using appropriate social skills due to communication delay or impairment, or autism.</image:caption>
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      <image:title>Home</image:title>
      <image:caption>What sets us apart? We provide in-home speech and language therapy informed by parent coaching.  Our unique methodology by includes the parent as an active participant in each treatment session. North Star stands out from competitors by challenging the traditional model and providing care that is truly family-centered.</image:caption>
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      <image:caption>View North Star Speech and Language Pathology Center's office building from Kenyon Street.</image:caption>
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      <image:caption>Lobby of North Star's upstairs office for occupational therapy.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>North Star's team of occupational therapists, speech-language therapists, interns, and administrative staff.</image:caption>
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      <image:caption>Occupational therapy sensory room in the upstairs office</image:caption>
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      <image:caption>North Star's staff attends the Apraxia Kids Walk for Apraxia in 2023</image:caption>
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      <image:caption>Upstairs fine motor and messy play area in the upstairs occupational therapy office.</image:caption>
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      <image:caption>Sensory swing, crash pad, and quiet space in North Star's upstairs sensory room for occupational therapy.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dina Stein, speech-language pathologist, presents a poster at the California Speech-Language-Hearing Association (CSHA) conference in 2023.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>A speech-language therapy office in our downstairs office.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>North Star's exhibit at the 2025 California Speech-Language-Hearing Association (CSHA) conference</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dina Stein, SLP, and Grace Erhardt, OT, twinning in North Star's neurodiversity-affirming t-shirts.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>A view of North Star's downstairs office from Kenyon Street.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dr. Katherine McKernan-McCracken presents on speech-generating devices at CSHA's 2025 conference.</image:caption>
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      <image:caption>Entry way and waiting area of North Star's downstairs office.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dr. Katherine and Chris McKernan-McCracken at CSHA's 2025 conference sharing resources for California's Voice Options grant program for free augmentative-alternative communication (AAC) devices.</image:caption>
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      <image:caption>A treatment room for speech-language therapy at the downstairs office.</image:caption>
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      <image:caption>A speech-language therapy treatment room in North Star's downstairs office.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dr. Katherine and Chris McKernan-McCracken exhibit at the Apraxia Kids Walk for Apraxia in 2023.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dr. Katherine presents on childhood apraxia of speech (CAS) and speech-generating devices (SGDs) at the 2024 Apraxia Kids conference in Pittsburgh.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>North Star's downstairs office view from the parking lot.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>Dr. Katherine and Chris McKernan-McCracken attend the Keep the Promise protest in downtown San Diego in 2024.</image:caption>
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      <image:caption>Entry door for the downstairs office for speech-language therapy.</image:caption>
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      <image:title>About North Star Speech and Language Pathology in San Diego, CA</image:title>
      <image:caption>North Star's neurodiversity-affirming t-shirts, sweatshirts, and posters at California Speech-Language-Hearing Association's (CSHA) 2025 conference in Pasadena, California.</image:caption>
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      <image:title>Contact North Star for Speech-Language Therapy | Speech-language delay and autism, San Diego, CA</image:title>
      <image:caption>Dr. Katherine, speech-language pathologist, sits on the floor next to a young girl; they look at a book and smile</image:caption>
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      <image:caption>A white female speech-language pathologist sits on the floor while holding up a toy; a one-year-old girl sits on her mother’s lap and looks at the toy; the speech therapist and mother both wear COVID-19 facemasks</image:caption>
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      <image:caption>Dr. Katherine sits on the floor and blows bubbles; a one-year-old girl sits on her father’s lap on the floor and looks at the bubbles</image:caption>
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      <image:caption>Dr. Katherine, speech-language pathologist, plays on the ground with a toddler-age girl</image:caption>
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      <image:caption>Mother and teenage autistic son read book together, speech therapist (inset) coaches parent in speech-language strategies.</image:caption>
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    <loc>https://www.northstarslpc.com/early-intervention</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-04-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595475944142-ATJA3JCEA6MWZKNUSGIL/DSC_0351.JPG</image:loc>
      <image:title>Early Intervention - What should I do if my child isn’t talking?</image:title>
      <image:caption>Most children say their first word around the age of one, but communication and language development starts far before then. If your child doesn’t say any words by 15 months old, or if they don’t make sounds, babble, and imitate before then, you should seek an evaluation with a speech-language pathologist (SLP). Your speech-language pathologist should use techniques based on research to improve your child’s language skills. The most evidence-based strategy for young children who are late to talk is parent coaching. Research suggests that children whose parents receive training in communication and language strategies make more progress than children who receive just speech-language therapy without parent training. Download our free communication milestones to learn more about what skills your child should demonstrate at various ages. Ready to learn more?</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595477239040-ARB0I494YPMJ0D1VHGEA/DSC_0035.JPG</image:loc>
      <image:title>Early Intervention - What is early intervention?</image:title>
      <image:caption>You might have heard of the term “early intervention.” Early intervention refers to therapy provided before a child’s third birthday. Doctors and specialists used to tell parents to “wait and see” if their child improved without help. However, many years of research suggests that the earlier a child begins receiving therapy, the faster they catch up to their peers, and the less therapy they will need overall. Recently, researchers have found that toddlers with language delay are at higher risk for severe tantrums than children without language delay (Manning et al., 2019). Many times, parents will tell me that they knew there was a problem long before they finally took the plunge to contact a speech-language therapist. If you are concerned about your child’s communication development, don’t wait and see. Services for children under the age of three are paid for under California Early Start through an agency called the San Diego Regional Center (SDRC). North Star is an approved vendor through the SDRC. Request North Star (vendor number PY2169) as your SDRC vendor. Read more about SDRC services.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595478938243-HRVOYO25OQ7IY1BP4QIQ/DSC_0163.JPG</image:loc>
      <image:title>Early Intervention - Why choose North Star?</image:title>
      <image:caption>North Star’s founder, Dr. Katherine McKernan, holds a doctorate in speech-language pathology from Northwestern University. Dr. Katherine’s training in the application of clinical research and expertise in working with young children makes her specially equipped to support you to help your child improve their communication skills. By incorporating parents as active participants in speech-language therapy, your child will likely make faster progress than if they were to receive only traditional speech-language therapy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595477545575-ZZHWC7NS0OBQP93PI3N3/DSC_0037.JPG</image:loc>
      <image:title>Early Intervention</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1602116391360-8ALD52GHYRCMXMUNGP77/Screen+Shot+2020-07-17+at+8.25.49+AM.png</image:loc>
      <image:title>Early Intervention</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595479566949-I9Y79B24I7BIDEV205YD/DSC_0370.JPG</image:loc>
      <image:title>Early Intervention</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1606629333565-PTUL5Y72TA5QG7SEKPUU/Screen+Shot+2020-11-28+at+9.53.16+PM.png</image:loc>
      <image:title>Early Intervention</image:title>
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  </url>
  <url>
    <loc>https://www.northstarslpc.com/speech-production</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-07-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1596298897561-1KFPD03RRX1K5HBN8PRG/DSC_0547.JPG</image:loc>
      <image:title>Speech Production - Help your child speak more clearly!</image:title>
      <image:caption>By the time your child is 3 years old, you should understand 75% of what they say. By the time your child is 4 years old, you should understand 100% of what they say. A child who is difficult to understand might have a speech sound disorder (SSD). A speech sound disorder can manifest in a number of ways, for example, a lisp (difficulty saying the “s” sound), errors with R (parents sometimes say “my child sounds like they’re from England or Boston”), or more broad errors (mixing up letter sounds like saying “tat” for “cat” or leaving sounds entirely off words, like saying “ah ee” for “doggy”). Check out our blog post on intelligibility to learn more.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1596299802152-IY06FGDTJ4LSHDPW343V/DSC_0507.jpg</image:loc>
      <image:title>Speech Production - North Star can help.</image:title>
      <image:caption>During an initial speech-language evaluation, your child’s speech-language pathologist will assess their speech production skills and differentially diagnose the cause of their their difficulty saying sounds correctly. The most common cause of sound errors is phonological disorder (sound error patterns); other less common causes include apraxia (motor planning and movement difficulties) and dysarthria (weakness). North Star’s speech therapists use research to create an individualized therapy plan for your child. Therapy for speech sound disorders may include direct instruction for sound production, practicing sounds and words during reading or play, and parent coaching to help you learn how to practice with your child outside of therapy. Depending on your child’s age and sound errors, therapy may be more play-based or more drill-based. Therapy for speech sound disorders should include lots of repetition, typically with the goal of practicing the target sound 60-100 times per session.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1596310881720-BGZB7LN1K3CFWHYQG4V0/DSC_0627.JPG</image:loc>
      <image:title>Speech Production - Why choose North Star?</image:title>
      <image:caption>North Star’s speech therapists have expertise in remediation of “s” and “z” errors (lisp), “r” errors, pervasive error patterns (phonological disorder), and motor planning and movement difficulties (childhood apraxia of speech). Does your child already get speech therapy at school through an Individualized Education Plan (IEP)? Speech therapy at school can be helpful, but it can often take children years of therapy at school to speak at an age-appropriate level. Private therapy can speed your child’s progress, which limits the amount of time they miss class for therapy. At North Star, speech therapy is individualized and one-on-one, with a focus on repetitive practice, application of clinical research, and parent coaching, to help your child make changes as quickly as possible.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1596313817008-4698UEHFNQ2H8CPPXV8B/DSC_0582.JPG</image:loc>
      <image:title>Speech Production - Childhood Apraxia of Speech</image:title>
      <image:caption>Childhood apraxia of speech (CAS) or “apraxia” refers to difficulty executing motor planning and motor movements for speaking. CAS is relatively rare, but can greatly impact a child’s ability to communicate. Children with CAS often have difficulty initiating speaking, so they may be quiet babies or have a hard time making any sounds when they get older. CAS can also make children very difficult to understand because movement between sounds, syllables, and words is challenging. If you suspect your child has CAS or your child has already been diagnoses with CAS, it is important to find a speech-language therapist who has experience treating this disorder and uses research to drive treatment techniques. There are many treatments that claim to improve speaking skills in children with CAS (such as PROMPT or TalkTools); however, there is poor or low quality research supporting the efficacy of these techniques (“pseudoscience”). North Star’s speech therapists specializes in evaluation and treatment of CAS utilizing research-supported techniques such as Dynamic Temporal and Tactile Cuing (DTTC) and Rapid Syllable Transition Treatment (ReST).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.northstarslpc.com/schedule-now</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-02-24</lastmod>
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      <image:title>Schedule Now</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1606589364016-L8JHLIJQ1VW37QKUW2SN/image.jpg</image:loc>
      <image:title>Schedule Now</image:title>
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  <url>
    <loc>https://www.northstarslpc.com/san-diego-regional-center</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-03-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1598672573326-OOIQDEJT3A97D6LA7503/Speech-language+therapist+holds+yellow+bubble+wand%2C+toddler+girl+reaches+for+bubbles%2C+mother+watches+toddler.</image:loc>
      <image:title>San Diego Regional Center Services - What is San Diego Regional Center?</image:title>
      <image:caption>The San Diego Regional Center (SDRC) is a nonprofit that coordinates services for people with developmental difficulties within San Diego County. For children under the age of three who don’t meet developmental milestones as expected, if your insurance doesn’t cover speech-language therapy, SDRC coordinates free therapy through Early Start. North Star is an approved SDRC vendor. When communicating with SDRC, you can request that North Star be your child’s vendor (vendor number PY2169).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1599272613057-0OR9KGRECUGUFJDHMSNS/DSC_0293.JPG</image:loc>
      <image:title>San Diego Regional Center Services - Why choose North Star as your SDRC vendor?</image:title>
      <image:caption>North Star’s founder and treating speech-language pathologist, Dr. Katherine McKernan, knows that parents are the experts in their children. But, when a child’s development is not as expected, it can be stressful, frustrating, and overwhelming. North Star’s unique methodology utilizes parent coaching in each in-home or online speech-language therapy session. Research suggests that parent coaching can reduce parent stress and result in faster progress for children with speech-language disorders and autism. During each appointment, parents receive coaching in strategies to support speech-language development; we provide you with a personalized home plan at the end of the appointment.  Dr. McKernan has ten years of experience as a pediatric speech and language therapist, with expertise in autism, early intervention, speech production, childhood apraxia of speech, augmentative and alternative communication, and minimally verbal communicators.</image:caption>
    </image:image>
  </url>
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      <image:title>Speech-Language Therapy</image:title>
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    <image:image>
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      <image:title>Speech-Language Therapy</image:title>
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    <image:image>
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      <image:title>Speech-Language Therapy</image:title>
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    <lastmod>2025-12-12</lastmod>
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    <loc>https://www.northstarslpc.com/covid-19</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-08-01</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1610044942356-9M4L1HBX9GZOZGTJY5IU/image-asset.jpeg</image:loc>
      <image:title>COVID-19 Policy</image:title>
      <image:caption>A ten-year-old boy wears a grey fabric face covering and smiles at the camera.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1610046030849-PTFFOBQJ1CMFFCCPE1O0/Screen%252BShot%252B2021-01-07%252Bat%252B10.51.17%252BAM.jpg</image:loc>
      <image:title>COVID-19 Policy</image:title>
      <image:caption>During speech-language therapy, Dr. Katherine and a mother wear facial coverings while seating on the floor with a one-year-old who looks at a toy.</image:caption>
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  </url>
  <url>
    <loc>https://www.northstarslpc.com/parent-coaching</loc>
    <changefreq>daily</changefreq>
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    <lastmod>2023-07-26</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1582433490852-GHT4EB3RG5BF8ENFUKRY/DSC_0277.JPG</image:loc>
      <image:title>Parent Coaching</image:title>
      <image:caption>Dr. Katherine, speech-language pathologist, sit on the floor and watches a young girl play; the girls mother plays with her</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1595348029942-9O9FCHRAQXJXHOCUX15L/DSC_0296.JPG</image:loc>
      <image:title>Parent Coaching</image:title>
      <image:caption>Dr. Katherine, speech-language pathologist, coaches a parent during a speech therapy session</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1606590972908-OA1P8SAI7GXM0XPFQMZJ/DSC_0035.jpg</image:loc>
      <image:title>Parent Coaching</image:title>
      <image:caption>Speech-language pathologist wearing a face covering plays with a young boy during in-home speech-language therapy. Both are looking at a toy block.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1602130319193-O67LJCP6LJCLFUQKCS76/DSC_0507.jpg</image:loc>
      <image:title>Parent Coaching</image:title>
      <image:caption>A female speech-language pathologist and a young girl sit on the floor and look at a book.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e2679801a1efa047339e389/1604033944041-RRB9PT0OD8ZR5F6LU8RL/Dr.%2BMcKernan%2B%25281%2529.jpg</image:loc>
      <image:title>Parent Coaching</image:title>
      <image:caption>A woman and a teenage boy smile at the camera; inset, a female speech-language pathologist talks to them during an online speech-language therapy appointment.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>North Star Apparel Store - Nobody's Perfect Women’s Relaxed V-neck T-shirt - Make it stand out</image:title>
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      <image:title>North Star Apparel Store - Nobody's Perfect Women’s Relaxed V-neck T-shirt - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>North Star Apparel Store - Nobody's Perfect Women’s Relaxed V-neck T-shirt - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>North Star Apparel Store - Toddler Let Kids Play Short Sleeve Tee - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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