Meet The Team

A dedicated team of therapists with years of experience

  • Gabrielle Perelmuter

    MOT, OTR/L
    Occupational Therapist
    Owner & Director

    Gabrielle has worked in a variety of pediatric settings, including school districts, in home early intervention and private clinics around the Bay Area. She opened the doors of Little Hands in September of 2006.

    She is experienced in working with children ages 0 to 18 with varied developmental challenges & diagnoses (e.g., Anxiety-related disorders such as selective mutism, ADD/ADHD, spectrum disorders, pervasive developmental delays, sensory processing disorders, and self-regulation & social skill challenges). She has advanced certification in the care and treatment of children with sensory processing challenges & anxiety-related disorders, specifically Selective Mutism. Her treatments have included sensory integration therapy, fine motor coordination intervention, wellness and prevention, family/parent education, reflex integration, perceptual problem solving and handwriting intervention. Therapy sessions incorporate the following programs and therapeutic techniques::

    • Play-based Sensory Integrative Therapy
    • Sensory Integrative Therapy
    • Therapeutic Listening
    • K​awar Vestibular-Ocular Protocol (“Astronaut Training”)
    • Therapressure Protocol (Wilbarger Brushing Protocol)
    • Handwriting Without Tears
    • Integrative Listening (iLs)
    • The zones of regulation
    • The superflex social thinking curriculum

    Gabrielle strongly believes that treatment is most effective when the therapist and child’s family work together to formulate therapy goals using the child’s occupations (interests and/or motivators) as a means towards achieving those goals. Gabrielle offers family consultation for parents for: sibling relationships, educational placement, prioritizing therapy, IEP/504 school based services support and creating plans for challenging home/school behaviors.

    EDUCATION

    Master’s degree in Occupational Therapy from Samuel Merritt College in December of 2004

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Through the use of their hands, ​children​ are energized by mind and will, ​an​​d ​can influence the state of their own development. Together we work and play towards meaningful goals, taking pride and ownership in our accomplishments.

Gabrielle Perelmuter
MOT, OTR/L
Owner & Director

  • Bryant Luong

    MS, OTR/L
    Occupational Therapist

    Bryant is a bilingual licensed occupational therapist with a passion for pediatrics preceding OT school. His background includes working with children with various developmental delays and conditions, but he has had the most experience working with children and young adults with autism. As a workshop mentor at Autistry, Bryant has assisted bright, young individuals in self-directed projects to hone their skills in fine and gross motor areas, task sequencing, self-regulation, and building self-esteem through “project-based therapy”. At the ANOVA Education campus in San Rafael, he assessed for functional deficit areas, identified goals, developed treatment plans, implemented child-centered interventions, and collaborated with parents and teachers on a daily basis. In his practice as an occupational therapist, Bryant stresses the importance of the therapist-client relationship and believes that interventions should be client-centered and goal driven. He believes that therapists working with pediatric populations possess a special, unique role in that they are able to intervene at such an early age and truly make a difference in the growth and development of a child, paving the way for success and participation in meaningful occupations for years to come.

    EDUCATION

    Bryant received his Master of Science in Occupational Therapy from Dominican University of California. He also holds a Bachelor of Arts in Psychology from California State University, Fullerton.

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  • Chelsea Montes

    MS, OTR/L
    Occupational Therapist

    Chelsea is a fresh mind in the occupational therapy field. She has been working as an Occupational Therapist for over a year and has fully immersed herself in the pediatric setting. Chelsea has worked with children in school-based and outpatient settings. Her experiences span across age ranges, from early intervention to teens and young adults, as well as various diagnoses and differences, including neurobehavioral disorders, genetic conditions, intellectual and learning disabilities, and developmental delay. Chelsea is passionate about teaching and supporting the children she engages with in a way that meets their individual needs, and she is motivated to learn from them through a child-led, play-based structure.

    EDUCATION
    Master of Science in Occupational Therapy, University of St. Augustine for Health Sciences and a Bachelor of Science in Kinesiology, Exercise Science, and Minor Certificate in Communicative Disorders, California State University, Fresno

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  • Cierra Crowe

    MA, CCC-SLP
    Speech / Language Pathologist

    Cierra has experience in several pediatric and adult settings with clients ranging from preschool to geriatric populations. Settings have included a vast range of abilities and cultures in the public and nonpublic schools, workplace readiness sites, private practice and home health across the Bay Area, San Diego and Hawaii. Cierra has participated in the Picture Exchange Communication System (PECS) workshop, as well as multiple seminars and continuing education classes focused on pediatric populations. Cierra’s clinical strengths include augmentative and alternative communication, preschool to school age receptive and expressive language delays, literacy skills as well as phonology and articulation disorders. Other areas of practice include cognition, Selective Mutism, fluency disorders, pragmatic language and Childhood Apraxia of Speech (CAS). Cierra adores working and laughing with children while focusing on functional skills to maximize generalization and benefits of therapy. With a personal family connection, Cierra truly understands the importance of family-clinician relationships and collaboration across disciplines and environments. 

    EDUCATION

    Cierra graduated from San Diego State University (SDSU) with a Bachelor’s degree in Speech, Language and Hearing Sciences, followed by her Master’s Degree in Speech-Language Pathology.

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  • Danielle Abraham

    M.S. CF-SLP
    Speech Language Pathologist, Clinical Fellow

    Danielle has a wide variety of clinical experiences with the pediatric population. She worked primarily with special education classrooms while interning with the Chicago Public School System and adapted group lessons to accommodate both in-person and online students. Her prior work experience managing a center for Lindamood-Bell Learning Processes has given her unique experience collaborating with teachers, students, and families. She focused on providing individualized plans for students at all academic levels from kindergarten through high school. At the Northwestern University Center for Audiology, Speech, Language, and Learning, she often worked with teenage clients on writing, organization, and higher order thinking. Through her extensive background in language, literacy, and education, Danielle has worked with clients of all ages, abilities, and cultural backgrounds—from children with developmental disabilities, Autism Spectrum Disorder, Down Syndrome, ADHD, learning disabilities, and AAC users. She is passionate about helping children of all ages learn to communicate more effectively with those around them. Special interests include populations with reading disorders, AAC users, pragmatics, and Autism Spectrum Disorder.

    EDUCATION
    Danielle graduated from University of California in San Diego with a Bachelors in Linguistics. She then received her Masters in Speech, Language, and Learning from Northwestern University.

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  • Emma Hassett

    OTD, OTR/L
    Occupational Therapist

    Emma has worked with the pediatric population in many capacities prior to pursuing a second career as an Occupational Therapist. She spent 20 years in Seattle working as a preschool teacher, dance teacher, children’s choreographer, and nanny before getting her Doctorate in Occupational Therapy at Samuel Merritt University in Oakland. In the Bay Area, she has provided occupational therapy services in both the pediatric clinic and school settings, working with kids with a variety of diagnoses including ADHD, Selective Mutism, Behavioral and Anxiety Disorders, and Autism, as well as kids with a wide range of sensory and social/emotional challenges, and motor skill differences. She helped with the development and funding of an afterschool program for public school students in the Sacramento area targeting self-regulation and handwriting skills to address learning loss challenges due to COVID related to school closures. Emma combines her background in dance and teaching with her OT training and experience to help children and their families meet their goals through creative, individualized, and play-based therapy.

    In her free time, Emma is passionate about the performing arts (especially musical theater), spending time with family, laughing, hiking, and eating good food.

    EDUCATION
    Emma received her Doctorate in Occupational Therapy from Samuel Merritt University and a Bachelor of Fine Arts in Dance from Cornish College of the Arts.

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  • Emily O'Brien

    Clinic Coordinator & Administrator

    Emily previously worked as a Para Educator at the Marin County Office of Education and as a summer camp counselor for children with type one diabetes. As a Para Educator, she engaged and supported students with autism to meet their individual academic objectives and adapted to the diverse emotional, mental, and cognitive abilities of students. Her most recent achievement is her work in the Environmental Leadership Program at the University of Oregon. Along with her classmates, she was able to connect 241 kinder through third grade students to their local environment using their outdoor education lesson plans. Emily graduated from the University of Oregon Spring of 2022 with a Bachelor of Science in Environmental Studies and minor in Global  Health. She is excited to contribute to a team where she can apply her combined experience working with children and her passion for healthcare administration.

    EDUCATION
    Bachelor of Science in Environmental Studies and minor in Global Health at the University of Oregon

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  • Hannah McNeill

    MA, CCC-SLP
    Speech / Language Pathologist

    Hannah has worked in a variety of pediatric settings, namely in private practices and public school districts around the bay area. She has participated in a vast range of continuing education courses focused on toddler, school-aged, and adolescent populations. Areas of interest include working with children with Autism Spectrum Disorder, Childhood Apraxia of Speech (CAS), and expressive/receptive language delays. Other areas of experience include Selective Mutism, articulation and phonology disorders, fluency disorders, and Down Syndrome. Hannah has a passion for supporting children of all developmental stages effectively self-advocate, communicate, and form lasting bonds with their peers. She believes in promoting functional communication skills by using an individualized, collaborative treatment approach with each child.

     

    EDUCATION
    Hannah graduated from UC Davis with a degree in Sociology. She completed her pre-requisite speech courses at Portland State University and then obtained her Masters in Speech Language Pathology from George Washington University.

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  • Katarina Martinez

    M​S, OT​R/L
    Occupational Therapist

    Katarina is a bilingual occupational therapist that has provided therapy to pediatric populations in school-based, home-based, and outpatient settings. She has experience treating children diagnosed with autism, down syndrome, intellectual disability, pervasive developmental delay, selective mutism, cerebral palsy, sensory processing challenges, ADHD, visual impairments, developmental coordination disorder, tic disorders, depression, and anxiety. She takes pride in collaborating with children and their families to provide quality therapy by implementing innovative activities to help facilitate learning and promote development in meaningful ways.

    Advanced certifications and therapeutic curriculums:

    • Completion of the STAR Center Advanced Mentorship for the Diagnosis and Treatment of Sensory Processing Disorder
    • iLs: Safe and Sound Protocol Provider
    • Bal-A-Vis-X
    • Interactive Metronome
    • Handwriting curriculums (HWT, Size Matters)

    EDUCATION
    Katarina attended Florida International University (FIU) where she graduated with a Bachelor of Arts degree in Psychology and a Master of Science degree in Occupational Therapy.

     

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  • Kellie Davis

    MOT, OTR/L
    Occupational Therapist/Clinical Supervisor

    Kellie’s background includes providing occupational therapy interventions in different practice settings for children with varied disabilities and developmental delays. She is experienced in addressing fine motor delays, visual perceptual skills, handwriting skills, social skills, visual-motor skills, sensory processing skills, and activities of daily living, such as dressing and self-feeding. Kellie maintains a holistic perspective when working with each child and directs her treatment sessions to meet the interests of the child while facilitating a successful environment for children to develop their skills and independence. She has participated in the Sequential Oral Motor Approach to Feeding (SOS) workshop by Dr. Kay Toomey, PhD in addition to completing numerous courses focused on the pediatric population.   She enjoys working with children of all skill levels and ages and believes in child and family centered therapy to support each child’s unique needs to support occupational engagement at home, school, and in the community.

    Kellie has attended the SOS Approach to Feeding course presented by Kay Toomey, PhD. and Erin Ross, PhD. CCC-SLP.   In addition she has attended advanced course training in SOS as it relates to using the SOS Approach when working with children aged 6 years and older.

    EDUCATION

    Kellie graduated from Samuel Merritt University where she received her Master’s Degree in Occupational Therapy.

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  • Kristen Sacramento

    MS, OTR/L
    Occupational Therapist

    Kristen is a Bay Area native who entered the field of occupational therapy after working with preschool and elementary-aged children for over 7 years. She is passionate about the pediatric population, and pursued occupational therapy as a second career after recognizing the variety of unique challenges families face, and the need for comprehensive, compassionate, and evidence-based support to address these challenges. Kristen began her occupational therapy career working in public elementary schools, but moved to the clinic setting in order to provide more holistic support for the entire family across the broader contexts of their child’s life. Kristen has worked, interned, and volunteered in a variety of settings both prior to and during her occupational therapy career, including working with blind young adults, children and young adults with autism from ages 3 to 22, unhoused individuals, and older adults. Kristen feels strongly about celebrating the diversity of human identities and experiences, and aspires to help families thrive according to their own value systems and personal goals.

    EDUCATION
    Kristen received her Master of Science in Occupational Therapy from Samuel Merritt University in Oakland, and holds an undergraduate degree with a focus on Writing and Literature from The New School in New York.

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  • LaShelle Favalora

    MS, OTR/L
    Occupational Therapist

    LaShelle has worked with children in schools, medical outpatient settings, private clinic settings, and in a multi-disciplinary clinic setting where she collaborated closely with ABA interventionists, Speech Therapists, Music Therapists, Developmental and Behavioral Pediatricians and Child Neurologists. Her experience spans across physical and developmental diagnoses including: Global Developmental Delay, Cerebral Palsy, Seizure Disorders, Postural Disorders, Down Syndrome, Autism Spectrum Disorders, ADHD, Sensory Processing Challenges, and Visual-Motor and Visual Perceptual difficulties related to handwriting. LaShelle has experience in leading a multi-disciplinary team to provide comprehensive care for children with neurodevelopmental challenges (birth through teenage years). She also has experience in participating in Medical Research to identify and explore the effects of sensory processing challenges in the brain in ages 8 – 12 years old. LaShelle is motivated to help children thrive, learn new skills, and cultivate a confident, curious and exploratory spirit. LaShelle’s ultimate goal is to help children of all ages connect with others and the world around them, and to provide client-centered support and care for families.

    Advanced Certifications Include:

    • Certified in the SOS Approach to Feeding presented by Kay Toomey, PhD.
    • Completion of the STAR Center Advanced Mentorship for the Diagnosis and Treatment of Sensory Processing Disorder
    • iLs Provider

    LaShelle has pursued additional training in the following conditions and treatment modalities:

    • Dyslexia and Dysgraphia
    • ADHD
    • Specialized topics in oral motor abilities and feeding
    • Intervention Strategies and Treatment for children with Autism

    EDUCATION

    LaShelle completed her Bachelor’s in Health Sciences and Master’s degree in Occupational Therapy at Dominican University of California.

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  • Mary Welton

    Liaison/ Payroll Specialist

    Mary has experience in a variety of settings. With a background in administration and management through being a pool manager and supervisor, as well as team captain of her college swim and water polo teams, she has developed the skill needed to collaborate and support a team as diverse as Little Hands. She has experience in different clinical settings, including athletic training, orthopedics, ophthalmology, and cardiovascular surgery.

    She is passionate about working with children through her experience as a swim instructor, youth swim coach, youth water polo coach, and summer camp instructor in the local Bay Area community of Vallejo, CA. Upon graduating college, Mary was a volunteer in the United States Peace Corps and worked as a Rural Family Health Educator in Monkey River Village, Belize. She was able to work in fields that involved nutrition, exercise and fitness, and environmental health. She worked with the Ministry of Education in the local school and started an after-school literacy program with the help of the school teachers.

    Mary believes that all children have the capacity to accomplish something great and enjoys being a member of a team that allows children to strive to be the best versions of themselves. She greatly enjoys watching the tremendous growth and being a part of a team that can instill confidence in children!

    EDUCATION
    Bachelor’s degree in Health Sciences from Chapman University in May of 2018

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  • Meghan Wentzel

    OTD, MA, OTR/L
    Occupational Therapist

    Meghan has had a wide variety of experiences with the pediatric population. She has treated children diagnosed with pediatric feeding disorders, intellectual disabilities, autism, down syndrome, developmental delays, rare genetic disorders, sensory processing disorders, ADHD, and fine motor coordination deficits. Meghan is passionate about working with children of all ages to create individualized treatment plans

    She completed her undergraduate degrees at Bucknell University, double majoring in Education (with a concentration in autism studies) and Psychology. She went on to teach in various classrooms throughout the Bay Area, ranging from preschool to high school, as well as special education classrooms, before attending the University of Southern California for Occupational Therapy for both her masters and her doctorate degrees. During her masters program she had additional experience in psychiatric emergency departments, skilled nursing facilities, and child development institutions. During her residency year, Meghan focused her specialty and portfolio on the relationship between caregivers and children with feeding difficulties, and providing caregiver education and coaching. She has completed USC’s Sensory Integration certification program, and is currently finishing her California Board of Occupational Therapy’s advanced credential in Swallowing Assessment, Evaluation or Intervention. A Marin native, Meghan is happy to be back and working in the Bay Area. In her spare time she enjoys hiking, spending time at the beach with friends, and trying new restaurants.

    EDUCATION

    • Doctorate of Occupational Therapy, University of Southern California
    • Master of Arts in Occupational Therapy, University of Southern California
    • Bachelor of Arts in Education (concentration in autism studies), Bachelor of Arts in Psychology from Bucknell University
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  • Michelle Nguyen

    MS, OTR/L
    Occupational Therapist

    Michelle has always had an interest working in pediatrics. Prior to beginning her occupational therapy program, Michelle used her pediatric skills of effective communication and leadership through coaching volleyball and basketball, in addition to working as a teacher’s assistant for a summer program. She has experience in various pediatric occupational therapy settings, partaking in the UCSF Volunteer Rehabilitation Program and California Children Services where she used her skills of creativity, playfulness and organization to learn how to best implement various activities with clients. Michelle’s current areas of specialties are working with children and families through evaluation and treatment of: sensory processing differences, regulation challenges, kindergarten readiness, anxiety related disorders, autism, down syndrome, ADHD, visual motor impairments, gross and fine motor challenges, handwriting challenges and social skill challenges. Michelle enjoys incorporating play-based occupations into treatment, and values collaborating with both child, family, teacher and caregivers to promote client-centered care. 

    EDUCATION
    Michelle completed her Bachelor’s degree in Health Sciences and Master’s degree in Occupational Therapy at the Dominican University of California. 

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  • Monica Frank

    M.S., BCBA (Consultant)

    Monica is a board-certified behavior analyst (BCBA) with an extensive background in behavior analytic techniques, a deep understanding of child development, and strong appreciation for the importance of relationships within a child’s life. She provides a form of behavior therapy that brings about meaningful behavior change for children through a combination of play-based child therapy sessions and close parent collaboration.

    Monica started her career in the field of Applied Behavior Analysis (ABA) in 2013, shortly after graduating with a B.S in Neuroscience from the University of California, Santa Cruz. She obtained an M.S in ABA with an emphasis in Autism from The Sage Colleges and became a Board Certified Behavior Analyst (BCBA) in 2016. Spending years working with neurodiverse children led her to form some core beliefs.

    • Child development is too complex only to take one approach
    • Placing parents at the center of the treatment team leads to the most meaningful progress, and
    • Every child wants to explore their interests, have close relationships, and be successful- some children simply require a unique approach to make this happen.

    Her core beliefs drove her to continue to seek experience that would allow her to implement a form of therapy that was not only effective but felt good to the child and family. She collaborated closely with clinicians across disciplines such as occupational therapy, speech therapy, music therapy, mental health, and neurology to create a more cohesive treatment experience for her clients. In 2017, she began receiving mentorship in DIR Floortime and has been working to integrate developmental and relationship-based therapeutic strategies from this model ever since. In January of 2021, she began pursuing a Ph.D. in Infant and Early Childhood Development at Fielding Graduate University.

    In her free time, Monica can be found spending time with her family, getting outdoors, playing board games, and watching in amazement as her son grows and develops in his own unique way.

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  • Nicole Jeswald

    MA, CCC-SLP
    Speech / Language Pathologist

    Nicole has a wide variety of clinical experiences with the pediatric population. Pediatric experience includes working in preschool through middle school as well as after school programs and camps for kids with autism. While in the pediatric settings she has worked with kids from a variety of backgrounds, ages, and abilities. Areas of interest include working with children with developmental delays, pragmatic skills, and receptive/ expressive language delays. Nicole is passionate about working with children of all ages and capabilities in order to provide them with the tools they need to express themselves. She enjoys getting to know kids and their families in order to create a collaborative environment.

    EDUCATION

    Nicole graduated from The Ohio State University with a Bachelors in Speech and Hearing Science. She then attended Cleveland State University, obtaining a Masters in Speech Language Pathology.

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  • Nikki D'Esposito

    MS, OTR/L
    Occupational Therapist

    Nikki is an Occupational Therapist who’s always had a passion for working pediatrics. Nikki’s passion for working with children stems from her experience as a youth gymnastics instructor for children ages 2-12 years old. Post graduate experience includes a broad range of pediatric settings: special education preschool, elementary schools, and outpatient clinics (specializing in sensory processing disorder). Nikki has worked with a variety of diagnoses including (but not limited to): developmental delays, down syndrome, cerebral palsy, autism, ADHD, intellectual disabilities, emotional disturbance, anxiety disorders, global developmental delay, visual and motor impairments, gross motor coordination difficulties, fine motor coordination difficulties, social skill challenges, kindergarten readiness support, learning differences and sensory processing disorders. Nikki strives to provide each child with a treatment plan that is focused on the whole child, that harnesses each child’s strengths, is fun and creative, while also helping the child to learn and develop the tools and skills they need to succeed at home, at school, and in the community. Nikki enjoys working with the pediatric population and believes that therapy should be child-led and play-based and utilizes the Developmental, Acquisitional, Behavioral, and Sensory Integration frame of references.

    EDUCATION

    Nikki completed her Bachelor’s degree in Health Science and a Master’s degree in
    Occupational Therapy at the Dominican University of California.

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  • Samuel Lemus

    Clinic Aide
    BS, Biology

    Samuel graduated from Dominican University of California in 2015 with a B.S. in Biology. While there he participated in research on drug resistance in Malaria and worked as an after school tutor for 1st – 8th graders teaching subjects like Math, Sciences, and English.

    Since graduating he has worked in medical settings as a CNA/HHA predominantly aiding families with loved ones with Dementia. While working in that capacity he learned a lot about the people he cared for, picking up on social and body cues, and how to communicate with the team members, patients and families.

    His current role at Little Hands allows him to support the clinicians in preparing their fun therapy sessions, organizing the clinic space and interacting with the kiddos during transition in and out of their session.

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  • Whitney Baird

    M.S., OTR/L
    Occupational Therapist

    Whitney has worked with children in school-based, home-based, medical, and outpatient settings. Her experience spans physical and developmental diagnoses, including cerebral palsy, ataxia, seizure disorders, postural disorders, Erb’s Palsy, Down Syndrome, autism spectrum disorders, ADHD, sensory processing challenges, visual motor and perceptual difficulties, feeding challenges, and developmental delays. Whitney is motivated to help children of all ages experience playfulness and joy while developing new skills, cultivating self-confidence and connecting to others.

    Ultimately, she strives to improve the overall quality of life by addressing daily challenges that affect family relationships, friendships, play, school-related tasks, and independence in self-care. Her background as a nanny has provided a strong foundation in identifying the contextual demands of each child’s daily environments. Whitney is committed to providing family-centered care featuring consistent collaboration and communication.

    Advanced certifications include:

    • Certified in the SOS Approach to Feeding presented by Kay Toomey, PhD.
    • Completion of the STAR Center Advanced Mentorship for the Diagnosis and Treatment of Sensory Processing Disorder
    • iLs Associate trained in the implementation of the Integrated Listening Systems protocol

    Whitney has pursued additional training in the following conditions and treatment modalities:

    • Dyslexia and Dysgraphia
    • ADHD
    • Specialized topics in feeding
    • Size Matters handwriting program
    • Interactive Metronome
    • Sonia Story Reflex Integration techniques

    EDUCATION

    Whitney completed her Master’s degree in Occupational Therapy at California State University, Dominguez Hills.  She received a Bachelor’s degree in Anthropology from Santa Clara University.

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Courageous Kids Group | SAT, Oct 21 & SUN, Oct 22

A weekend intensive specifically for children with selective mutism

Courageous Kids is a sensory motor-based behavioral therapy program designed to support preschool and elementary-aged children with various anxiety-based disorders such as, but not limited to: Selective mutism, Generalized anxiety, Sensory processing disorder, Social Communication Challenges, and Social Anxiety.

Purpose of Courageous Kids:

  • Support children with communicating freely and comfortably across settings such as school, the community and in groups.
  • Provide opportunities to participate in activities to support brave talking and social skills.
  • Provide home strategies to continue supporting the child in climbing their brave talking ladder and increasing social confidence.
  • This group intervention incorporates evidence-based approaches with engaging activities to target each child’s increased verbalizations and interactions with novel adults and peers.

Date & Time (Schedule):

  • Saturday, Oct 21st & Sunday, Oct 22nd from 10:00 am to 1:00 pm

Age range:

  • Preschool through First Grade

Cost/Details:

  • Space is limited, sign up early to reserve a spot for your child!
  • Cost: $2,200 (This includes one fade-in session and an email update home with strategies for follow-through at home and the weekend intensive).

Should you have additional questions about billing, please contact Emily!

Emily O’Brien |  (415)-758-2767  | eo@littlehandsot.com