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Pura Vida Lactation & more, LLC

Pura Vida Lactation

Feeding & Lactation Support for Babies in Baltimore & DC

Your baby's feeding challenges deserve more than a Google search.
You deserve someone who comes to you.
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​​Whether you're navigating breastfeeding struggles, a NICU homecoming, a suspected tongue-tie, or a toddler who won't eat — I bring clinical expertise and genuine care directly to your home. Because the best support happens where your family feels safest.

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Cristi Garfield + family, NICU speech-language therapist and lactation counselor, Baltimore MD
ASHA certification
Autumn Henning Chrysalis Orofacial tethered oral tissues TOTs trained seal certification
National Association of Neonatal Therapists
Academy of Lactation Policy and Practice
Certified Infant Massage Certified Badge
Certified Baby Wwearing Specialist certification

Meet Cristi

MS, CCC-SLP · CLC · CIMC · CBWS · TOTs Trained

I’m a licensed speech-language pathologist, certified lactation counselor, and NICU feeding therapist with over 14 years of experience in feeding clinics, schools, and Level III and IV NICUs across Baltimore and the DC area — caring for medically complex newborns from their earliest days.

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I built Pura Vida Lactation & more, LLC because families deserve more than a one-and-done visit. I come to you — whether that’s your living room, your daycare, or wherever feeding happens — because real progress happens where your family feels safe. Your baby, your body, and your feeding journey are met with clinical expertise, genuine care, and no judgment. One of the most important parts of my work is bringing a positive spin to even the hardest feeding days.

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When you work with me, you get more than a lactation consultant. You get a NICU-based SLP, feeding therapist, lactation professional, and fellow mama who sees your whole story — and stays with you through it.

Every stage brings new questions.
You don't have to answer them alone.

How It Works:

Let's Talk

Text me or choose a time below for a quick call so I can learn more about your concerns and goals.

Create YOUR Plan

 We’ll discuss your feeding goals, complete a formal evaluation, and determine the best support for your family.

Ongoing Support

Move forward feeling confident, supported, and clear on how to nourish your baby and support healthy development.

Services

My Services:

Infant Feeding Support

In-home support for breast, bottle, or combo feeding in those first weeks and months. We help with latch, sore nipples, milk supply, and the transitions that shift week to week — building a plan for exactly where you are right now.

Tongue-Tie & Lip-Tie Support

Tongue-tie and lip-tie (tethered oral tissues, or TOTs) assessments start with oral motor function, not just a quick look. In some cases, targeted pre-release work improves feeding enough that a procedure isn't needed. In others, it sets your baby up for a smoother recovery.

Pediatric Feeding Therapy

Support for solids, picky eating, texture aversion, and chewing difficulties in toddlers and young children — addressing the oral-motor and sensory pieces so mealtimes get easier.

NICU Graduate Feeding Support

Specialized feeding support for babies transitioning home after a NICU stay — including prematurity, low tone, reflux, oral aversion, or tube dependence. Support can start bedside, before discharge, and continue at home.

Speech Therapy

From first words to clear articulation and robust language, therapy provides tailored, play-based sessions for children ages 0-7, focusing on early language development, sound production, and school readiness. Schools can also request screenings with standardized assessments to ensure every child's speech needs are met effectively. (Complete form below!)

Prenatal feeding support and preparation course

Prenatal Support

Start your feeding journey before baby arrives. We cover feeding anatomy, latch, and what to expect — tailored to your goals — so the early days don’t catch you off guard.

Looking for a trusted SLP partner for your program? I offer contracted screening services for daycares, private and public schools, and early childhood programs, with parent consent, to help identify children who may benefit from further evaluation or therapy services. Flexible, affordable, and designed to fit your program's schedule.  Reach out to learn more about partnering!

Mobile speech therapy and screenings for daycares and preschools in Baltimore & DC

My travel radius:

Proudly serving families in Baltimore City and County, Howard, and Harford Counties, and southern York County, PA, as well as the Washington, DC area.

In-home visits within 40 minutes of Baltimore, MD are included at no additional cost. For visits beyond that, a travel fee applies based on drive time:

  • 41-50 minutes: $50

  • 51-60 minutes: $75

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Billing/insurance:

Pura Vida Lactation & more, LLC is a private-pay, out-of-network practice — meaning I don't bill insurance directly. As a licensed Speech-Language Pathologist, I provide Superbills upon request, and many families are surprised to find that their insurance reimburses a substantial portion of services. It's always worth a call to your provider to ask about your out-of-network benefits.

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Every insurance plan is different, and you are responsible for contacting your insurance company to confirm whether feeding therapy services are eligible for reimbursement under your plan. To make that easier, I've included a list of helpful questions to ask in the FAQs section.
 

Payment plans are available when appropriate — reach out directly to discuss what works best for your family.

cute blue-eyed baby drooling

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Testimonials

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