Clinical Team

Richard Boles, MD

Medical Director

Dr. Boles completed medical school at UCLA, a pediatric residency at Harbor-UCLA, and a genetics fellowship at Yale. He is board certified in Pediatrics, Clinical Genetics and Clinical Biochemical Genetics. Dr. Boles was a faculty member for 20 years at the Keck School of Medicine at USC and a practicing medical geneticist at Children's Hospital Los Angeles. He has been the Medical Director of Courtagen Life Sciences Inc. since its inception, and is also currently in private practice in Pasadena, California. For over two decades, Dr. Boles' clinical and research focus has been on genetic changes in genes involved in energy metabolism, and more recently ion channels, and their effects on the development of common functional disorders. Examples include pain syndromes, cyclic vomiting, depression, autism and SIDS. Dr. Boles practices the “bedside to bench to bedside” model of a physician-scientist, combining an active clinical practice with basic research into the underlying genetic predispositions leading to the same conditions. He has over 70 published papers, mostly in mitochondrial medicine. Dr. Boles joined Courtagen in order to facilitate the translation of the vast amounts of acquired genetic knowledge into applications that improve routine medical care.

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Ngoc Minh D. Le, MD

Medical Consultant

Dr. Le is an American Board of Psychiatry and Neurology (ABPN) certified pediatric neurologist who specializes in epilepsy, neurogenetics, and neurometabolism. He received his M.D. from Drexel University College of Medicine. Dr. Le trained in pediatric neurology at The Cleveland Clinic, and epilepsy and neurophysiology at Miami Children’s Hospital. At Miami Children’s Hospital, he was Co-director of the Neurogenetics / Neurometabolic Clinic, and the Ion Channel Epilepsy (Dravet Syndrome) Clinic. Dr. Le has also been a primary or contributing investigator on a number of FDA epilepsy drug and device studies.

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Christine Stanley, PhD, FACMG

Chief Lab Director

Dr. Stanley completed her doctorate in Human Genetics at the Medical College of Virginia of Virginia Commonwealth University and received postdoctoral training in Clinical Molecular Genetics at Boston University's Center for Human Genetics. Christine is a Diplomate of the American Board of Medical Genetics (ABMG) as a Clinical Molecular Geneticist through the American Board of Medical Specialties (ABMS) and holds a Certificate of Qualification (CQ) in Molecular Genetic Testing by the New York State Department of Health.

Prior to joining Courtagen, Christine held the position of Genetics Director at Athena Diagnostics where she was responsible for the release over 300 diagnostic tests in the specialty areas of neurology, immunology, endocrinology and nephrology and multiple diagnostic platforms, which included chromosomal microarray (CMA), multiplex ligation-dependent probe amplification (MLPA), restriction fragment length polymorphism (RFLP), quantitative polymerase chain reaction (qPCR), DNA sequencing (advanced and Sanger), Southern Blot, western blot and enzyme-linked immunosorbent assay (ELISA). Christine held a key role as the lead Director managing business development, marketing, reporting, variant scoring and interpretation of the key product lines of Spinal Muscular Atrophy (SMA), Maturity Onset Diabetes of the Young (MODY), and Congenital Hyperinsulinism (CHI).

While at Athena, Christine was named the “Best Quality Driver”, the company's first award in Quality Assurance for her process improvements directed at enhancing patient results and reports. She is also the recipient of multiple awards for academic excellence and is a Fellow of the American Board of Medical Genetics and Genomics (ACMG).

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Daniel E. Pineda-Alvarez, MD, FACMG

Laboratory Director

Dr. Pineda-Alvarez completed his MD training at Universidad CES in Colombia, and received his medical genetics training at the NIH Medical Genetics and Genomic Medicine Training Program. He is board certified in Clinical Molecular Genetics and Cytogenetics by the American Board of Medical Genetics and Genomics (ABMGG), and holds a leadership position in the Genomic Variants Workgroup for ClinGen (Clinical Genome Resource).

Daniel comes to Courtagen with 10 years of relevant experience in the fields of medical genetics and neuroscience. Prior joining Courtagen, he was the Associate Clinical Director of Cytogenomics at GeneDx where he led the analysis, clinical interpretation and reporting of copy-number variants as a component of multi-gene panels for diverse medical specialty areas, whole exome sequencing (WES), and chromosomal microarrays (CMA). Daniel was instrumental managing the laboratory and analysis operations, reporting, developing, launching and marketing a variety of cytogenetics and molecular genetics tests in the areas of oncology, cardiology, neurology, orphan disorders and maternal-fetal medicine.

Dr. Pineda-Alvarez was a recipient of an Intramural Post-Doctoral Training Award (IRTA) at the National Human Genome Research Institute (NHGRI), NIH. During his pre and post-doctoral work, he studied the clinical manifestations, medical management and genetic basis of disorders that affect early human development and neurodevelopmental disorders, in particular, holoprosencephaly (HPE), VACTERL association and ADHD.

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Jelena Brezo, PhD, FACMG, MS

Laboratory Director, Clinical Genomics

Jelena Brezo is a clinical molecular geneticist boarded by the American Board of Medical Genetics and Genomics and a fellow of the of the American College of Medical Genetics. She is licensed as a laboratory director for genetic testing by the California and New York Departments of Health.

Jelena brings director-level reporting, management, and regulatory experiences from several non-profit and commercial laboratories in California and Massachusetts.

Jelena's areas of expertise center on the clinical interpretation and reporting for molecular diagnosis of inherited cancer, pharmacogenetics, and a number of recessive disorders. Jelena’s areas of interest are next-generation sequencing for molecular diagnosis and screening, genetic variant curation curriculum development, and applying data science tools in quality control and quality assurance programs in high-throughput laboratory settings.

Jelena received her Ph.D. from McGill University and trained in medical genetics at the University of Chicago and UCLA. Her publications have appeared in Molecular Psychiatry, Archives of Pediatric and Adolescent Medicine, British Journal of Psychiatry, Biological Psychiatry, and Psychological Medicine.

She was a recipient of a Canadian Institutes of Health Research Fellowship, a Genes, Environment, and Health Training Program Fellowship, and the McGill Human Genetics Department’s Award of Excellence.

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Holly Hornung, MS, LCGC

Genetic Counselor Manager

Holly joined Courtagen in 2013, shortly after obtaining her Master's of Science in Genetic Counseling from Brandeis University. She earned her board certification from the American Board of Genetic Counseling (ABGC) in February, 2014. Holly also holds a BS in Molecular, Cellular, and Developmental Biology and a BS in Psychology from the University of Washington.

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Stacey Wong, MS, LCGC

Genetic Counselor

Stacey Wong is a licensed and board-certified genetic counselor with over 15 years of experience in the clinical, research, and commercial laboratory settings. Prior to joining Courtagen, she was senior genetic counselor in the pediatric genetics clinic at Children's Hospital Los Angeles. Her other experience includes genetic counseling and research coordination for the Lysosomal Storage Disease and Research Center at Cedars-Sinai Medical Center, where she assisted with the phase 3 and 4 trials on Fabrazyme, prenatal genetic counseling with Genzyme Genetics, and genetic counseling for the Craniofacial and Spina Bifida multidisciplinary specialty clinics at Children's Hospital Los Angeles. Stacey has particular expertise in mitochondrial disease and has presented workshops on this topic at the National Society of Genetic Counselors annual education conference and the Mitochondrial Medicine Family meetings.

Stacey earned her masters of science in Genetic Counseling at California State University Northridge and her bachelors of science in Cellular and Molecular Biology at the University of California Los Angeles. She also has a masters degree in Traditional Oriental Medicine from Emperors College and was formerly a licensed acupuncturist.

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Dawn Cardeiro, MS

Senior Clinical Liaison & Market Access Manager

Dawn is a board-certified genetic counselor with over two decades of clinical, non-profit, and industry experience. Prior to joining Courtagen, Dawn was a Regional Account Manager in the Managed Markets division at Myriad Genetic Laboratories. She also previously held positions there as a Medical Policy Specialist and a Regional Medical Specialist.

Dawn holds a BS in Chemistry from Fairfield University and a MS in Human Genetics from Sarah Lawrence College. She began her career as a clinical genetic counselor in the Northeast, including at Montefiore Medical Center in the Bronx and Baystate Medical Center in Springfield, MA. In 2001, she launched a freelance writing business with a focus in genetics; clients included the March of Dimes and the National Coalition for Health Professional Education in Genetics. Her work with the March of Dimes led her to pursue a staff position at their Rhode Island chapter where she was the Director of Program Services from 2004-2007. Dawn has served on the NSGC Access and Services Committee and was Chair of the Licensure Subcommittee.

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Libby Couchon, MS, LCGC

Senior Clinical Genomics Manager

Libby Couchon is a licensed and board-certified genetic counselor with 15 years of experience in the clinical and commercial laboratory settings. Prior to joining Courtagen, she worked as a clinical genetics liaison at Transgenomic, Inc. and senior genetic counselor at GeneDx and Athena Diagnostics providing advanced clinical and educational support to medical professionals specializing in the areas of neurology, cardiology, endocrinology and nephrology. Her clinical experience includes genetic counseling for the General Genetics clinic and Cystic Fibrosis, Thrombophilia and Muscular Dystrophy multidisciplinary specialty clinics at Nationwide Children's Hospital in Columbus, OH.

Libby earned her masters of science in Genetic Counseling at the Medical College of Virginia of Virginia Commonwealth University and her bachelors of science in Bioengineering at Western New England College.

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Sarah Klemm, MS, CGC

Genetic Counselor

Sarah Klemm is a certified genetic counselor with 7 years of clinical experience. Prior to joining Courtagen, she was the supervisor for the medical genetics department at Spectrum Health in Grand Rapids, MI. She specialized in pediatric and general genetics. She also had experience in prenatal genetic counseling and pediatric multidisciplinary clinics.

Sarah earned her Master's of Science in Genetic Counseling at Wayne State University and her bachelors of science from the Lymann Briggs School Microbiology and Molecular Genetics at Michigan State University.

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Cheryl Scacheri, MS, LGC

Senior Clinical Genomics Manager

Cheryl Scacheri is a licensed, board-certified genetic counselor. Cheryl brings diverse genomics experience to Courtagen, having worked in patient care, genetics research and molecular testing. She was GeneDx's first genetic counselor and worked there for seven years, eventually managing a genomics education initiative that included giving dozens of formal presentations, training the sales force and internal technical experts, and growing the company's online presence. Cheryl also worked for the world-renowned research geneticist Dr. Eric Hoffman for 5 years and was the director of the genetic counseling division at the Cleveland Clinic.

Cheryl earned a master's degree in Genetic Counseling from the University of Pittsburgh and a bachelor's degree from Drew University in Madison, NJ. She has served on the National Society of Genetic Counselors (NSGC) board of directors and won the NSGC's Strategic Leader Award in 2008.

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Jane Schuette, MS, CGC

Genetic Counselor

Jane is a board certified genetic counselor with 20+ years of extensive clinical experience. Prior to joining Courtagen, she was Genetic Counselor and Program Manager in the Division of Pediatric Genetics, Metabolism & Genomic Medicine, at the University of Michigan Health System, and Clinical Instructor in the Department of Human Genetics, University of Michigan School of Medicine, serving on the executive faculty for the genetic counseling training program. Previous positions include Senior Genetic Counselor and Clinic Coordinator in the Division of Medical Genetics at the Mount Sinai School of Medicine where in addition to pediatric genetics, she was involved in carrier screening and reproductive genetics. Jane was co-editor of the first genetic counseling textbook, A Guide to Genetic Counseling.

Jane earned her Master of Science degree in Genetic Counseling at Sarah Lawrence College and Bachelor of Arts degree in Biology and Psychology from Albion College.

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Courtagen offers both advanced diagnostic genetic testing via Next Generation sequencing techniques and access to a team of experienced, board-certified genetics professionals to assist you with the testing process.

In particular, our genetic counselors are available to physicians and healthcare providers to provide assistance with test selection, gathering and reviewing of appropriate clinical data, and interpretation of the test results. We also offer a report guide to help you navigate through each section of our report.

Click here for Courtagen's Report Resource Guide

With permission from the ordering physician, our genetic counselors are also made available to the patients and their families to help clarify the test results and discuss their implications.

To contact our genetic counselors directly email us.

Click here for information on ordering our tests

Click here for information regarding billing

Please note that Courtagen Diagnostics cannot disclose results directly to patients, and the results must be first discussed with the ordering healthcare provider. Additionally, discussions with genetic counselors will be limited to the results contained in the report.

For general information on obtaining genetic counseling, we recommend searching for a genetic counselor near you through the National Society of Genetic Counselors at Genetic counselors can be searched by location, name, institution, or specialty.