Dr. Justin Roche

Consultant Paediatrician

My interest in Tongue Tie dates back to 1999 when my first daughter was born. At 5 days old, having lost over 10% of her birth weight, she had her tongue tie divided in Southampton. Six children and four tongue ties later, I then returned to Southampton to start my training in how to divide tongue ties. I have been dividing tongue ties since 2008 and running a dedicated tongue tie clinic since 2010 and assess and divide tongue ties +/- lip ties in over one thousand children each year.

I am a Member of the Royal College of Paediatrics and Child Health (MRCPCH) and a Fellow of The Faculty of Paediatrics, Royal College of Physicians of Ireland and have registration with the Medical Council (Number 171584) under the Specialist Division for Paediatrics.

I have spent thousands of hours on continuing education having attended numerous conferences and courses on tongue tie, predominantly in the States, in order to be at the forefront of care for infants, children and young adults. I am a board member of the International Consortium of Ankyloglossia Professionals (ICAP).

Kate Roche

Paediatric Physiotherapist

Kate is a Paediatric Physiotherapist who trained at the University of Liverpool and worked in both Leeds and Southampton before moving to Ireland. In Leeds she specialised in paediatric neurology and respiratory care, including intensive care and then in Southampton led and delivered the Regional Neonatal Service for Pre-term and high-risk infants. She now works exclusively at the National Tongue Tie Centre. She is registered with CORU PT03981.

Kate has an interest in craniosacral therapy and has completed two of Carol Gray’s craniosacral therapy courses for infants as well as Craniosacral therapy to support breastfeeding with Kate Rosati in the UK. She also been to Cincinatti to study Autonomic Nervous System Therapeutics with Michelle Price Emanuelle. Recently Kate has also been to Boston studying orofacial myofunctional therapy with Esther Bianchini, a Speech and Language Pathologist from Brazil.

Claire Bulfin

Lactation Consultant (IBCLC) and Qualified Antenatal Teacher

Claire Bulfin is the lead Lactation Consultant here in the clinic. Claire is a midwife, lactation Consultant and mother to four children Roisin, Cillian, Tess and Stella and lives in Waterford.

Claire has worked in Ireland for two decades as a midwife working in Maternity units in Dublin and Waterford.

Claire has practiced as a lactation consultant for the last ten years.

In addition to her qualifications in general nursing, midwifery and as a lactation consultant, Claire has recently completed a MA degree in Advanced Facilitation Skills for Promoting Health and Well Being.

“Working alongside parents is an absolute privilege, I am passionate about breastfeeding, but I am also passionate to support parents along their feeding journey, where ever this takes them”

Amanda Glynn

Lactation Consultant (IBCLC CLM)

Amanda’s introduction to breastfeeding began in 1998, following the birth of her first child. Having overcome a less than optimal start to breastfeeding, sadly a lack of appropriate information and support contributed to a premature end to her and her baby’s breastfeeding journey. With the arrival of her second child, in 2006, Amanda was fortunate to receive wonderful help and information. This first-hand experience of good breastfeeding care and an awareness of the consequences of sub-optimal support, ignited her desire to train as a Breastfeeding Counsellor.

As Amanda’s experience of assisting breastfeeding families grew and as her passion to deliver optimum care increased, as did her wish to better assist mothers and babies who were presenting with difficulties of a more clinical nature. After embarking on an intensive training course to fulfill the International Board of Lactation Consultant Examiners (IBLCE) required didactic series of health science education and clinical experience, she realised her dream of becoming an International Board Certified Lactation Consultant (IBCLC).

Amanda has completed the ASU Clinical Lactation Program is a member of the Council of the Association of Lactation Consultants in Ireland (ALCI), the International Association of Lactation Consultants (ILCA), the Irish Association of Infant Mental Health and the International Association of Tongue-Tie Professionals (IATP). She has taken part in numerous consultative processes including literature and policy development for both voluntary and public health agencies.

Amanda works as a private practice Lactation Consultant in Galway and shares her other joys and passions with her husband and three children.

Marie Meagher

Lactation Consultant (IBCLC) and Public Health Nurse

Marie works full time as a Public Health Nurse and is also a Lactation Consultant. She is married to Michael and they have 3 children Will, Muireann and Tom. When starting out with her first baby, Marie found the experience quite overwhelming and was determined to exclusively breastfeed. Adjusting to her new role, Marie went on to breastfeed all of her children resulting in almost 8 years of breastfeeding. During this time she realised the huge need for proper advice and support.

Along with a Postgraduate Diploma in Public Health Nursing from UCC Marie also holds a BSc Honours degree in Midwifery and a Higher Diploma in General Nursing and is a Lactation Consultant since 2009. Marie has been working with mothers and babies for the last 17 years between a career in Midwifery and Public Health Nursing and also worked as a Community Midwife in the UK on a home birth team. Presently as a Public Health Nurse Marie supports mothers in their feeding choices on discharge home with their babies. Marie has a great interest in infant and childhood nutrition and health, and enjoys working with parents during this time. Marie also acts as a referral source for her colleagues around breastfeeding issues. Marie is a member of The Association of Lactation Consultants in Ireland.

“It is a great privilege to work with mums and their babies during this unique time, I feel all mums and babies are entitled to the professional support and assistance to realise their breastfeeding goals.“

Agnes Fitzgerald

Paediatric Nurse and Lactation Consultant (IBCLC)

Agnes worked in Neonatal ICU at University Hospital Waterford from 2001 to 2019 where she helped Mothers of both Term & Preterm Infants become established on their road to successful breastfeeding. 
Agnes is a Lactation Consultant since 2009 and also a member of The Association of Lactation Consultants in Ireland (ALCI). 
She is also a Paediatric Nurse having worked in Our Lady's Children's Hospital, Crumlin for a number of years.
Living in Kilkenny and married to Sean they have three girls Emily,Hannah and Mia.

Michelle Prendergast


Michelle has been working in Administration in South Tipperary General Hospital for over a decade. She began there in 2005 in the Admissions Department working 24 hour roster and gaining experience in areas such as Colposcopy, Dayward, Theatre, Physiotherapy, Library, Outpatients, Acute Medical Assessment Unit, Healthcare Records and finally ending up in her current position as Secretary to the Deputy General Manager and Administration Assistant for Dr. Justin Roche at the Infant Feeding Centre.

Michelle is currently on the Committee for the Emergency Services Cycle. Each year in June a walk and cycle for up to 750 participants is carefully organised and all monies raised go to a chosen local charity. This year is the 10th Anniversary of this charity all in memory of her colleague and friend, Advanced Paramedic, Jim Hogan.

Michelle’s main passion for much of her life has being playing the piano accordion, classically trained and is bashful in admitting she is All-Ireland Champion on a number of occasions.

Louise O'Donovan

Clinic Manager

After completing a BA in English and Mathematics at NUIG. Louise studied a post graduate Diploma in Advertising in DIT. Louise and her husband Karl moved to the US and for the next 11 years Louise worked in advertising, marketing and Special Markets managing both domestic and international accounts. Upon returning to Ireland, Louise and Karl settled in Clonmel. They have three boys Culann, Naoise and Fionn. Louise is also a part time yoga teacher.

Siobhán McCarthy


Siobhán has been working as part of the administration team in South Tipperary General Hospital for three years supporting the medical consultant teams. Her qualifications include business studies and legal administration.

Siobhán is passionate about all animals but especially her dog Holly who is a husky and enjoys long walks at the weekends. Her other hobbies include travelling, cinema and meeting new people. Siobhán looks forward to welcoming you and looking after you during your time here at the clinic.



Gillian Lynch

Health Care Assistant

Gillian is our newest team member at the National Tongue Tie Centre, having recently qualified as a Health Care Assistant. Caring for the young and the elderly as a child minder and carer over the past 17 years ignited her desire to return to study and qualify as a Health Care Assistant.

Gillian looks forward to welcoming and assisting you in every way possible during your time at the National Tongue Tie Centre.