Our Staff
Julie O'Toole
Julie O’Toole MD MPH is co-founder and Chief Medical Officer of Kartini Clinic. Dr. O’Toole is a board certified pediatrician and internationally recognized expert in pediatric eating disorders. Dr. O’Toole has been in private pediatric practice for more than three decades. She also has a master’s degree in Public Health (International Health). As well as being an avid gardener and bookworm, she is the proud parent of four grown children and grandmother of four active boys and four delightful girls.
Shanna Greene
Shanna Greene is the Chief Operating Officer and co-founder of Kartini Clinic. She worked in a general pediatric practice for eleven years before helping to found Kartini Clinic in 1998. Shanna has a Bachelor of Science from Portland State University. She enjoys taking turns dancing in the rain with her children and exploring Portland’s many parks with her energetic dog, Harley Quinn. The most recent additions to the family are two rescue cats, Malcolm and Luna.
Sheila Scrobogna
Sheila Scrobogna is Program Director for the Partial Hospitalization and Intensive Outpatient programs at Kartini Clinic. She graduated from Loyola Marymount University with a Bachelor’s degree in Theatre Arts and received her Master’s of International Communication at Macquarie University in Sydney, Australia. After finishing her degree at Macquarie she traveled around the world and has now returned to Portland with her husband to be closer to family. She loves being outside in the sun, traveling, going on adventures, playing with her dog, and cuddling her two children.
Morgan O'Toole
Morgan O’Toole is Chief Executive Officer of Kartini Clinic. He received his Bachelor’s degree in Political Science from Reed College in 1994 and a Master’s from the Middlebury Institute of International Studies, Monterey, CA. After stints in New York and London, he returned in 2003 to the greener pastures of the Pacific Northwest. After working in various positions at Kartini Clinic Morgan was appointed CEO in 2008.
Megan Maples
Megan Maples is the Business Office Director at Kartini Clinic. She grew up in Boise, Idaho and moved to Eugene to attend the University of Oregon. She graduated with a Bachelor of Science in Psychology. In her free time, she enjoys listening to music and traveling.
Sherrill Gandsey
Sherrill Gandsey is registered nurse and the Program Nurse at Kartini Clinic. Before joining the Kartini team, she was a pediatric Intensive Care Unit nurse at Randall Children’s Hospital for over 20 years. Sherrill has worked with the Kartini team for over 10 years and is the staff liaison between the hospital and clinic. In her spare time, Sherrill is a Disaster Nurse volunteer for the American Red Cross and most recently assisted back east with families affected by Hurricane Sandy. Her hobbies are dancing, tennis, boating and most important spending time with her family.
Leslie Weisner
Leslie Weisner is a Family Therapist at Kartini Clinic. Raised in Connecticut, she earned a Master’s degree in Marriage and Family Therapy at Southern Connecticut State University. Leslie has been a therapist for more than 20 years, working almost exclusively with eating disorders. She enjoys spending time with her husband, two sons, and their dog Tulip.
Steve Nemirow
Steve Nemirow is a co-founder of Kartini Clinic. After gamely serving in many capacities Steve retired as Kartini Clinic’s legal counsel in 2023. Steve graduated from Reed College and Hastings College of Law. He is the parent and step-parent of 3 daughters and a grown son. He now spends his days painting pictures and writing poems.
Ashley Rogers
Ashley Rogers is the Utilization Review Specialist at Kartini Clinic. An Ohio native, Ashley worked in the design industry in New York City between college and graduate school. She also taught college Art History before spending several years in the health insurance field. She enjoys reading, cooking, playing with her dog, and exploring the Pacific Northwest.ow spends his days painting pictures and writing poems.
Mary Gunesch
May Gunesch works with schools throughout the Northwest to help them support Kartini School students as they strive to smoothly transition out of, and back into, their hometown schools. Mary is a licensed Oregon school administrator and teacher with many years of experience. She had led schools through accreditation, taught at the graduate level, and published articles about learning. Mary has a Master’s degree from Lewis and Clark College in Portland. Her favorite activities include reading, skiing, and hiking up mountains with her dog, Boomer. Mary and her husband are the proud parents of two children: one currently in college and one recent college graduate.
Kaitlin Crowell
Kaitlin Crowell is a Milieu Counselor in the Partial Hospitalization Program at Kartini Clinic. She feels strongly about perseverance and looks for the positive in any situation, which she learned growing up in the foster care system. She plans to pursue her passion in American Sign Language (ASL) and will continue her work with children and adolescents. Kaitlin loves to spend time adventuring with her partner and pup, Molly, who is her pride and joy and looks forward to traveling to many interesting locations.
LaJames Wilson
LaJames Wilson is a Milieu Counselor in the Partial Hospitalization Program at Kartini Clinic. He attended Portland State University with a focus on business communications. When he isn’t working he enjoys exercising, playing video games, and cuddling with his two cats Sencha and Remy. One of his passions is volunteering throughout his community and helping others.
Ashley D. Guthrie
is a Milieu Therapist in the Partial Hospitalization Program at Kartini Clinic. She earned a Bachelor of Science in Physiology and Neuroscience as well as a Bachelor of Arts in Music Humanities from UC San Diego. Ashley also received her Bachelor in Music Therapy from Pacific University and is a Licensed and Board Certified Music Therapist. She completed specialization training certifying her as a Neurologic Music Therapist. Ashley has clinical experience serving patients in acute mental health, substance abuse, individuals and children with intellectual and developmental disabilities, various neurological disorders, TBI, Alzheimer’s and more. She enjoys songwriting, playing guitar, singing, and spending time with her senior dog Mika.
Christine Betlinski
Christine Betlinski is the Kartini School teacher. She originally moved to Oregon in order to attend the University of Oregon, where she studied biology and environmental science. She then pursued ornithological research at Portland State University. Through the years, Christine has taught at the collegiate level for both the University of Oregon and for Portland State University within the biology departments. She is a lover of the great outdoors, and can be found hiking around the Pacific Northwest with her dog Paul when she is not at Kartini.
Nikhil Rao
Nikhil Rao MD MSc is a triple board certified pediatric psychiatrist at Kartini Clinic, with extensive experience across multiple settings including eating disorders, neuro-developmental disorders (such as autism), and the interface between medical and psychiatric illness. Dr. Rao is a member of Oregon Council of Child and Adolescent Psychiatry. After completing his fellowship in child and adolescent psychiatry in 2017, Dr. Rao went on to achieve board certification in general psychiatry, child and adolescent psychiatry, and also obesity medicine. Dr. Rao’s clinical interests lie in untangling complex diagnosis and treatment challenges in individuals with multiple mental and physical health issues, and identifying the right mix of psychotherapy and medication approaches to best serve the individual. He is fond of teaching and has written or lectured at audiences of all educational levels at the local, regional, and national level. Dr. Rao currently works in several settings including with at-risk youth, inpatient psychiatry, and works with Kartini Clinic’s team part-time to provide psychiatric consultation and evaluation.
Smadar Megnazi
Smadar Megnazi is a family therapist at Kartini Clinic. She earned her Master’s degree in Creative Arts from Lesley University in Cambridge, Massachusetts. Smadar has been working as a therapist for more than a decade and has clinical experience working with kids and teens. Her goal is to support the kids and provide space for them to develop the skills needed to support themselves better and grow with confidence. She enjoys spending time with her husband, four sons, and dog Milo. She loves hiking in the summer and skiing in the wintertime. She loves to read and to travel or combine them both!
Amanda Clary
Amanda Clary is a human resources assistant at Kartini Clinic. She has a passion for serving people in any capacity. She enjoys living the country life in Newberg, OR with her young daughter and husband. They enjoy kayaking, gardening, and spending as much time as possible outdoors.
Michaela Cribb
Michaela Cribb PNP is a pediatric nurse practitioner at Kartini Clinic. Since 2012 Michaela has worked in a variety of acute care and primary care settings, having previously worked as an ER nurse in Montreal, Canada and Fresno, California. Originally from Vancouver Island, Canada Michaela moved to the USA in 2008, when she met her husband Jose. They relocated to Portland in 2014 and now have two beautiful children and one hairless cat (Queen Fluffy). Michaela is passionate about pediatric healthcare and is an associate professor at University of Portland, focusing on pediatrics in the FNP program there. When not working or teaching, Michaela enjoys hiking, camping, paddle boarding, and traveling with her family. There is a whole, wonderful world out there and Michaela wants to explore as much of it as possible.
Risa Regory
Risa Regory is the Credentialing Specialist at Kartini Clinic. She is a Portland native and received her Business Tech Certification from Portland Community College in 1991. That same year she also began working in the medical field for a small pediatric gastroenterology practice in North Portland where she was a team member for six years. From there she worked for 19 years at a large multi-specialty group practice in their adult gastroenterology division. She is passionate about advocating for patients to receive superior care and strongly believes that educating them about healthcare and insurance functionality will enable them to make the best decisions for their individual needs. Her favorite pass-time is being with her husband, son and two granddaughters. Risa also loves to create large and small scale abstract paintings, experiment with vegan recipes and design jewelry. Her bucket list includes: learning to play the acoustic guitar and vacation in Italy.
Kathryn Arland
is an on-call family therapist at Kartini Clinic. She earned a Bachelor of Science degree in psychology from Washington State University and a Master of Science in clinical psychology from Capella University. She is thrilled to have the opportunity to continue working as part of the Kartini family. Katie lives on the Washington coast with her husband Lorne and a variety of horses, cats, and dogs. In her spare time, Katie enjoys spending time with her family, horseback riding, reading, writing, cooking, and traveling.
Caitlin Smith
Caitlin Smith is the Kitchen Assistant at Kartini Clinic. Caitlin graduated from Clark College’s culinary program in 2010 and has worked in all kinds of restaurants in the NW over the last decade. She’s happy to put her culinary skills to good use at Kartini. Caitlin enjoys baking, hosting dinner parties, listening to music, and hanging out with her partner Jeff and their two cats, Lucille and Liza.
Sophie Truesdale
Sophie Truesdale is an Intake Coordinator at Kartini Clinic. She graduated from Portland State University with a BS in Conflict Resolution. Sophie completed a thesis project on Japanese and US mainstream media responses to coverage of Russia’s invasion of Ukraine. She is passionate about bridging understanding between people in the face of different interests, values, and beliefs. When she is not working, Sophie enjoys listening to audiobooks and going on long walks.
Valaura Palmberg
Valaura Palmberg is a Milieu Therapist at the Kartini Clinic. She grew up in Olympia Washington but moved to Portland where she completed her Master of Arts in Counseling from George Fox University. She enjoys spending time with people, being outside in nature, going for walks with her husband and discerning how to raise children in a world that is full of beauty and difficulty.
Cassie Fisher
Cassie Fisher is an Art Teacher at Kartini Clinic. She is also the owner of Cassie Fisher Painting. She has spent the better part of her life working as a professional artist, where she creates works of art ranging from full scale commercial murals to intricate and detailed paintings. She especially has a deep and focused passion for creating children-friendly works of art. This is evident through her work with the Ronald McDonald House of Charities, where she had the opportunity to create an abundance of diverse and life-like murals. Sharing her enthusiasm for creating smiles and happiness through her art is her purpose, and she looks forward to working with Kartini Clinic’s children.
Marie Jensen
Marie Jensen is a Medical Assistant at Kartini Clinic. She has a passion for caring for people and hopes to continue her career in the medical field working with children. Outside of work, she enjoys cooking, kayaking, reading, and going on family walks with her husband, their two children, and their dog.
Kyle Braun Shirley
Kyle Braun Shirley is an Account Representative at Kartini Clinic. He was born in Tucson, Arizona and moved to Oregon when he was 15. Kyle has a Bachelor of Science in Journalism from the University of Oregon. When not at work, he enjoys reading and going to concerts with his friends and family.
Lucy Cramer
Lucy Cramer is a Milieu Counselor in the Partial Hospitalization Program at Kartini Clinic. She graduated from the University of Puget Sound with a Bachelor of Arts in Psychology. She is passionate about working with children and plans to become a licensed therapist. Lucy is excited to continue supporting children at Kartini by creating a safe and welcoming environment. When she is not working she enjoys spending time outdoors with friends and hiking in the Pacific Northwest.
Rebecca Evans
Rebecca Evans is a Medical Assistant and an On-Call Milieu Counselor at Kartini Clinic. She has a Bachelor of Science in Psychology and experience working with kids and adults in a hospital inpatient setting as well as residential care. Rebecca loves spending time outside, raising her own children, and practicing care for the earth and each other.
Bailey Shiflett
Bailey Shiflett is a Clinical Art Therapy Intern at Kartini Clinic, currently completing her final year of graduate studies at Lewis & Clark College. Bailey brings a compassionate and creative approach to working with adolescents, integrating art therapy into the treatment of eating disorders to promote self-expression, identity exploration, and emotional healing. With prior experience in a local residential treatment setting, Bailey is skilled in providing developmentally appropriate therapeutic interventions that complement Kartini’s multidisciplinary care. She is passionate about fostering a safe and supportive environment where clients can navigate recovery through the power of creativity and self-discovery.
Kayleen Pena
Kayleen Pena is a Medical Assistant at Kartini Clinic. She is currently a bilingual public health student at Portland State University, with a strong background in caregiving and customer service. Kayleen is deeply committed to supporting underserved communities and advocating for health equity. Her experience as a direct support professional has taught her the importance of compassion, respecting each person’s unique needs, and taking a well-rounded approach to care. Kayleen aspires to become a physician assistant in pediatrics, where she can apply her passion for improving healthcare access and outcomes for children and families. In her free time, she enjoys road trips with her family and music sessions along the way.
Gavin Poirier
Gavin Poirier is an Intake Coordinator at Kartini Clinic. Gavin received his BA in Theatre Arts with a concentration in acting from Western Washington University. He has performed in plays and has been a scare actor at Oaks Amusement Park in Portland. He has experience working with kids as a Learning Support Paraeducator in Vancouver, WA. One of his goals is to help people with disabilities have easier navigation of themselves and the world. He spends his free time discovering new restaurants with his fiancé, dancing, going to concerts, and spending time with his dog and cat.
