Mental Health

Katie DiSalvo, MS

Katie holds her Master's degree in Mental Health Counseling from St. John Fisher College.  She also holds a Bachelor's in Psychology with a minor in Sociology.  Katie is employed as a Prevention Counselor and Educator for Delhi Drug and Alcohol Agency with extensive experience working with populations from the rural, urban and suburban communities.

Katie believes that everyone deserves to be treated as an individual, and therefore caters her integrated approach to suit the needs of each person.  Counseling is far from being something shameful or for the "weak," but rather an opportunity for a person to gain insight and perspective on the obstacles they are experiencing in their lives.  This can be achieved by identifying one's goals and recognizing their strengths.  Katie advocates for achieving maximum health through wellness in the mind and body together.  Counseling should be client-directed so that the individual gains empowerment and a sense of control over their treatment.

Katie is working towards the last step in her New York State licensure process.  She is certified in Mental Health First Aid and is a New York State Mandated Reporter.  Katie currently provides individual counseling and coaching services for adults and teens and is accepting new clients.  She prides herself on providing a safe and confidential environment that promotes acceptance and independence.

Mental Health

Tracy Migliore, mS

Tracy holds a Masters degree in Counseling from the University of Rochester, and has been a practicing school counselor for the last 7 years.  her work has included Prevention Counseling at Delphi Drug and Alcohol Council for the past 5 years, and an educator in both the Wayne County and Rochester City School Districts. 

Tracy is currently in the final process of her New York State training on Credentialed Alcoholism and Substance Abuse Counselor, as well as her Licensed Mental Health Counselor license.  Having led counseling groups at Delphi's Outpatient Recovery Program, she is experienced in adult, teen and family counseling.

Tracy currently offers counseling and coaching services focused on improving lifestyle and thought processes, as well as guidance towards achieving and maintaining an emotionally healthy lifestyle.  Her personal belief is that in striving towards complete health, it is important to take of the mind and emotional state, not just the physical body.


One of the most overlooked opportunities to improve overall health.  Improving quantity and quality of sleep is one of our goals.


We have found the best that nutritional medicine has to offer!  We also can evaluate the microflora of the gut, and work toward balancing it to improve your overall health.

Integrative Health

Sandra Miceli, 

Family Nurse practitioner

Sandra has been in the healthcare field for over 20 years in the fields of substance abuse, oncology, family practice, allergy and rheumatology.  She has a passion for listening and learning.  She uses a holistic compassionate approach to guide people to wellness. 
My philosophy is "If we give the body what it needs, it will heal itself."

Sandra uses a wide variety of treatment options tailored to the individual to achieve health goals.

She is now a member of the American Academy of Anti-aging Medicine that seeks to combine the best of all forms of medicine to optimize health, slow and reverse aging processes.

Experts in the field of health  

Our Mission is to help you LIVE to the healthiest

Call Today: 1-800-664-0613

The foundations of wellness

 We examine the foundations of wellness and find strengths to build upon and weaknesses to minimize.  Think of the acronym 'SHINES'.


A key to health promotion.  We will give you the tools to get your engines running and keep them that way!


We help you find ways to encourage the body to adapt to various stressors.  We work to reduce the body's stress load allowing you to flourish no matter what the situation.


"I have noticed some improvements!  My digestive system isn't quite so sensitive anymore for one thing, and I feel like I am actually absorbing food better.  I do feel more resilient; haven't gotten sick AT ALL this season! 

~ Melissa

"My hair is not shedding to such a great degree.  My skin is so much healthier.  I used to have horrible breakouts all the time and oily skin, and I was sort of ashy and pale looking.  My skin is so much clearer and less oily, and my complexion is a lot better."

"Probably the biggest thing, NO JOINT PAIN!  I mean this was my main symptom when I first became sick.  The last few years on the Plaquenil I was in some degree of pain every day.  And now I've been off the Plaquenil since June, and off any prescription drugs since August, and almost never have joint or muscle pain"

Integrative Health

Now introducing Dawn Rugelis!

Family Nurse practitioner

Dawn has over 30 years of experience in health care.  She has also recently joined the American Academy of Anti-Aging Medicine and is excited to begin her new path truly helping and healing the mind, body and soul.  

We at Surviving Naturally are not only excited to have Dawn, but blessed to have her with us!

Welcome aboard DAWN!  :)


Low grade chronic infections like Epstein Barr or small intestinal bacterial overgrowths place stress on the body, and are major barriers to wellness.


When hormones like thyroid or cortisol are out of balance, the entire system fails us.  Achieving hormonal balance is key to feeling good!