Our Team
Genesis TMS works with a variety of professionals, such as psychiatrists and medical doctors, to help with the enhancement of TMS treatments.
Dr. Romena Kiryakous, PsyD
President & Chief Executive Officer (CEO)
Dr. Romena Kiryakous, PsyD, is the driving force behind Genesis Behavior Center Inc., a groundbreaking clinic that focuses on helping children with their behavior. She’s committed to assisting children with various needs, including those who have complex diagnoses.
Dr. Kiryakous has been leading the clinic for more than 20 years and has helped create many success stories and positive results. Her education includes a master’s degree in psychology, as well as both a PhD and a Doctor of Psychology.
These qualifications were carefully developed to handle the challenges of working with complex cases in children. Leading the way in innovation, Dr. Kiryakous is the visionary behind FirstPath Inc., an all-encompassing behavioral health software designed with care to fulfill the needs of organizations focused on helping clients with behavioral developmental conditions. Alongside her position as CEO of Genesis Behavior Centers, she actively engages in collaborative endeavors.
Dr. Sandra Cox, MD, Psychiatrist
Chief Medical Officer (CMO)
Dr. Sandra Cox, MD, board certified Psychiatrist known for her compassionate and collaborative approach to mental health care. She specializes in treating a broad spectrum of psychiatric conditions, including depression, anxiety, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD) and other.
Dr. Cox is deeply committed to understanding each patient’s unique story and tailoring treatment plans that reflect both clinical expertise and personal insight. She creates a safe and supportive space where patients feel genuinely heard and respected, and she places strong value on open dialogue and shared decision-making. Her inclusive practice is especially attuned to the needs of the LGBTQ community, ensuring care that is both empathetic and affirming.
Dr. Cox has extensive experience treating a wide range of psychiatric conditions, including:
- Depression
- Bipolar Disorder
- Anxiety Disorders
- Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Gender Dysphoria
She emphasizes a holistic approach to mental health, integrating lifestyle modifications such as exercise, nutrition, mindfulness, and sleep hygiene into her treatment plans. Dr. Cox values a collaborative relationship with her patients, ensuring they feel heard and understood, and she is particularly attuned to the unique challenges faced by the LGBTQ community
Dr. Megan Khalaf, PsyD
Chief Behavioral Science & Research Officer (CBSRO)
Dr. Khalaf leads research and innovation at the intersection of behavioral science, psychology, and neuroscience.
As Chief Behavioral Science & Research Officer, Dr. Megan Khalaf advances the scientific foundation of FirstPath. She directs behavioral and clinical research, develops advanced training programs, and ensures that every service is grounded in measurable outcomes and current psychological science.
Dr. Khalaf bridges research with real-world care empowering clinicians, Psychiatrists, and families with evidence-based strategies that transform lives.
Linda Mikha, JD
President, FirstPath, Inc.
Chief Operating Officer, Genesis Behavior Center, Inc.
Jennifer Yakow, MS, Behavior Psychology
President, Genesis Behavior Center, Inc.
Jacob Yakow
Chief Financial Officer (CFO)
Jacob ensures the financial health of FirstPath, aligning strategic growth with fiscal responsibility and innovation.
As Chief Financial Officer, Jacob Yakow directs all financial operations, including budgeting, reporting, and long-term planning. He ensures financial sustainability as FirstPath expands access to autism, psychological, and psychiatric services, including TMS-based treatments.
Through disciplined oversight, Jacob enables the organization to innovate responsibly and grow with stability.
Carlos Pereira, MBA
Director of FirstPath, Inc. Software & Human Resource Director
As the Director of FirstPath Software, Carlos oversees daily operations to ensure efficiency, accuracy, and compliance across all users. He coordinates training, monitors workflow requirements, and ensures every agenda item is met with precision. With a focus on reliability, collaboration, and innovation, Carlos bridges technology and team performance making FirstPath a trusted, high-performing platform that supports excellence in care and data integrity.
Nancy Jimenez, M.S.
Corporate Complaiance Director & Director of Clinical Training & Development
Nancy advances clinical excellence through professional education, mentorship, and performance growth.
As Director of Clinical Training & Development, Nancy Jimenez designs comprehensive education systems that elevate the competence and confidence of every clinician, therapist, and technician. Her work ensures FirstPath’s team remains on the cutting edge of behavioral, psychological, and neurotherapeutic practice.
Gagan Murghai
Chief Behavioral Innovation Officer (CBIO)
Gagan unites behavioral science and technology to drive progress in therapy outcomes and patient engagement.
As Chief Behavioral Innovation Officer, Gagan leads the design and implementation of digital systems and applied research that enhance the effectiveness of behavioral and psychological care. His leadership ensures FirstPath continues to evolve as a data-driven, tech-forward organization that leverages innovation to improve patient outcomes.
Our Strength. Our Team

Jessica Caballero
Human Resource Assistant

Vanessa Haro
Human Resource Assistant

Maria Valdovinos
TMS Technician
