Learn All About Coto Below

Due to licensing requirements, services are currently only available to families residing in WI, CO, and VA.

Parent working on a laptop at home, representing Coto's virtual toddler speech consultations

What Coto Is

  1. Private, Zoom-style consultations for parents and caregivers of toddlers (12-36 months) with a speech therapist

  2. Education on early communication development and practical strategies to support toddlers at home, with follow-up support

  3. Parents share concerns and details; I identify and analyze any problems, and provide professional next-step recommendations on how to address the communication problem

Mother embracing toddler outdoors under a cloudy sky

What Coto Is Not

  1. Coto is not a direct speech therapy evaluation, does not determine a diagnosis, or treatment

  2. Coto is not a replacement for speech therapy if needed

  3. Coto is not a medical diagnosis. If you have concerns regarding your child's medical health, development, hearing, or other medical questions, please consult your child’s pediatrician.

Two caregivers looking at a laptop together on a sofa

Their children…

  • Are toddlers ages 12–36 months

  • May not have qualified for services, or…

  • Are receiving services and caregivers want to maximize progress at home

  • May be ready not need the full therapy process, but families still want support

  • Can benefit from speech and language enrichment in preparation for preschool or kindergarten

Parents and caregivers…

  • Are concerned about their child’s speech and language development

  • Are on a waitlist for an evaluation or services but want tools to support their child’s language development today

  • Want guidance on next steps

  • May not be ready to jump into speech therapy yet, but want some questions answered about speech and language development

  • Want to be more confident telling providers what their child needs without being dismissed or feeling overwhelmed

  • Have been told to “wait and see” but are choosing a proactive approach instead

  • Want to ease their stress about where to begin by receiving clear guidance from an SLP

Some Common Questions and Concerns Parents Have

  • How many words should my 18-month-old have?

  • Does my 2-year old need speech therapy? 

  • Can my child outgrow a language delay on their own?

  • What can I do at home to help my toddler talk?

  • What counts as a word?

  • Should I pursue a speech and language evaluation?

  • What can we do right now while we wait for our child’s speech evaluation in four months?

  • What should we do next?

Coto Parent-Caregiver Consultations are Ideal When…

Did You Know?

For children ages 0–3, research shows that effective early intervention is less about direct intervention with the child and more about equipping the adults who spend the most time with them.

Studies in neuroscience and early childhood development highlight two key principles that support communication growth:

1. learning within a child's natural environment and

2. partnering with parents and caregivers through a coaching model.

By incorporating evidence-based strategies into everyday routines and interactions, families can create important opportunities for communication development throughout the day.

Read more about the differences between direct speech therapy intervention and parent coaching here.