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Alexandra de la Nuez

Vancouver, BC V5Z 2W9, Canada

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I am a speech language pathologist working with people who have complex communication needs and use Augmentative and Alternative Communication (AAC) and Assistive Technology (AT) to communicate. This means I support adults and children who are not talking (or can’t use their voice to meet their daily needs) and need another way to communicate. Most often, these people require the use of picture symbols, communication books, tactile objects, speech generating devices, apps, and/or other technologies to help them communicate. Depending on the person’s physical abilities, they may use their hands, eye gaze, mouse emulation, switches, or other alternative access methods to use their communication tools. Ultimately, these communication tools foster greater independence because they give a voice to those who cannot otherwise communicate fully and expand the number of people they can communicate with. I also work with children and young adults with complex instructional needs who are developing literacy and writing skills and require technologies and/or systems for written output because they cannot hold a traditional pencil.

Field of Practice

Speech-language Pathologist

Disorders Treated

AAC (Alternative and Augmentative Communication) – AdultAAC (Alternative and Augmentative Communication) – ChildAphasiaStroke – AdultStroke – ChildDysarthriaMotor Speech DisorderApraxia/DyspraxiaDevelopmental DelayTraumatic Brain Injury (TBI)Language Delay/Disorder

Taking New Clients


Age Groups Treated

19+ years6 to 19 yearsLess than 6 years

On RASP list


Languages Spoken

english, aslbasic

Will Travel / Distance


Specialties / Services Provided

AAC Software (e.g., Grid3, TouchChat, Unity, Communicator 5, Proloquo2Go, Proloquo4Text, and Predictable). Alternative access methods (e.g., switch access, eye pointing, eye gaze, and mouse emulation). Eye gaze for communication, desktop access, and academic access. Written output AT (e.g., Clicker7, Kurzweil, and alternative pencils). Low-tech AAC (e.g., PODD).

Provides Teletherapy?


Other Professional Practice / Service Information