Hi there, I’m Joann Fleckenstein, MS, OTR/L, founder of Across All Ages Therapy.
Joann has been an occupational therapist since 2005 after graduating with her BS/MS in Occupational Therapy from Brenau University. She grew up listening to her parents (her mother an occupational therapist and her father a pediatrician and epidemiologist) discuss therapeutic ideas, debate the merits of treatment models, and describe clinical challenges at the dinner table.
Her interest lies in supporting clients and families through neurological differences and disorders across the lifespan from Autism to Alzheimer’s. Joann is a parent herself and has been a caregiver to the elderly. She has first-hand understanding of the unique emotional challenges that parents and caregivers face as they support their families.
More about Joann Fleckenstein, MS, OTR/L
A DIRFloortime® Expert Training Leader, she passionately believes no one is broken. She has worked with clients of all ages from 2 months to 108 years old with a focus on client-centered, respectful care, always considering the needs of the entire household.
She was proud to be a co-presenter with our counselor, Mike Fields, at the 24th and 25th Annual International DIRFloortime® Conferences. Joann has also presented and consulted nationally and internationally. Learn more about DIRFloortime® at ICDL.com
Pamela Williams, MS, OTR/L
Lead Occupational Therapist
Pamela Williams obtained her Master of Occupational Therapy degree from Georgia State University. Her previous career as a Recreation Therapist in adolescent psychiatric settings created a passion for supporting mental and physical for children and teens. It also taught her the importance of supporting individuals and their families according to their own unique needs and desires.
A childhood living in multiple countries has created a cultural sensitivity and desire to learn and understand the values and experiences of the families with which she works. She lives in Atlanta with her husband, Daniel, and her fantastic dogs, Rufus and Luci.
Mike Fields, MS, LPC
Counseling Lead for Groups
Mike is the proud father of a young man on the autism spectrum. After seeing how his son responded to the DIRFloortime® approach, Mike changed careers and became a Licensed Professional Counselor (LPC). Working with families and individuals in Atlanta, GA over the last decade. Mike is a firm believer in the power of stories to inspire us, and to promote growth and healing.
As an Expert DIRFloortime® Training Leader, Mike embraces a wellness model employing the DIRFloortime® framework using play, from unstructured play – following a person’s lead and need- to semi-structured cooperative and collaborative games, to give people the opportunity to see themselves as not just the authors, but the heroes of their own stories, shifting the focus from pathology to potential.
Jenine Ampudia, MS, OTR/L
Occupational Therapist
Jenine has her Master’s in Occupational Therapy from the University of Illinois Chicago. She has a background in peer support offering her a unique perspective on disability. Jenine has a deep appreciation for an anti-ableist framework that she applies in her daily life and in her practice.
She is passionate about empowering neurodivergent individuals at all ages to live a life driven by their unique values. Outside being an Occupational Therapist, Jenine is an artist, friend, and caretaker to many animals.
Anna Hicks, MS, OTR/L
Occupational Therapist
Anna graduated from Georgia College & State University with a Bachelor’s in Health Education and later earned her Master’s of Occupational Therapy while attending Georgia State University. Over the past six years, Anna has worked with both pediatric and geriatric clients providing a wide variety of supports to improve quality of life.
Anna’s favorite part of being an occupational therapist is connecting with families and using her creativity to make therapy fun and meaningful. Outside of work, Anna loves spending time with her husband, Jordan, her toddler Holden, and her cat, Hallie. In her free time she enjoys filling up her own sensory cup with long walks in nature and attending Yoga classes with her friends.
Kalina Shaw, MOT, OTR/L
Occupational Therapist
Kalina earned her Master’s in Occupational Therapy from the University of Minnesota. As a neurodivergent individual, she is passionate about supporting individuals and their families through a relationship-centered, strengths-based approach. She is currently advancing her training in DIRFloortime® and enjoys helping children and adults build confidence, connection, and independence.
She also brings a unique perspective through her professional organizing business, where she creates functional, supportive environments that promote ease and participation in daily life. Outside of her professional work, Kalina enjoys spending quality time with friends and family, dancing to all styles of music, and singing—especially karaoke.
Verna Tisdale
Administrative Staff
With a diverse and accomplished career spanning more than three decades, Verna brings a unique blend of financial expertise, business leadership, and a passion for helping others. A graduate of Nova Southeastern University, Verna earned a Bachelor of Business Administration in 1996, followed by a Master of Business Administration in 2000. Continuing a commitment to growth and service, Verna later obtained a second Master’s degree in Counseling from Liberty University in 2010.
Professionally, Verna has built an extensive background in the Banking and Finance industry, with over 30 years of experience across traditional banking, mortgage lending and real estate. Additionally, Verna has spent more than 20 years in the business and entrepreneurial sectors, serving in diverse roles including Administrative leadership, Director, Human Resources, CEO, and business Owner.
Complementing this strong business foundation is over 15 years of experience in the Social Services field. Through work in areas such as child care, counseling, and community living support services, Verna has demonstrated a deep commitment to supporting individuals and strengthening communities.
Known for a well-rounded perspective that bridges business strategy with compassionate service, Verna continues to make a meaningful impact across industries while fostering growth, stability, and positive change.
Mia Odom
Administrative Staff
Mia is a dedicated medical billing and revenue cycle professional with over 15 years of experience helping healthcare organizations run smoothly behind the scenes. She built her career on a strong foundation of accuracy, efficiency, and a genuine commitment to both clients and providers.
Throughout her career, Mia has taken on both leadership and hands-on roles, from managing daily practice operations to training and supporting billing teams. She enjoys mentoring others, creating clear and effective processes, and working collaboratively with clinicians and staff to keep everything running efficiently. Her background spans multiple specialties, including mental health and dental care, giving her a well-rounded perspective in healthcare.
Mia holds an Associate’s degree in Human Services from Chattanooga State Community College, which reflects her people-first approach to her work. She takes pride not only in getting the numbers right, but also in contributing to a positive experience for both patients and the teams she supports.
Join The Team
We’re on the lookout for an incredible occupational therapist to join our neurodiversity-affirming crew. Whether you’re looking for part-time, full-time, or PRN opportunities, we’d love to meet you.
Come help us support individuals across all ages in living fuller, more empowered lives.
>> Explore Careers at Across All Ages Therapy
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