Occupational Therapy

Empowering Daily Routines

As a parent, you want your child to learn, develop and grow. This process is different for each child and family and we’re honored to be with you on your unique journey. If you’re noticing delays or differences in development – where regular everyday activities seem challenging for your child – our occupational therapists are here to be that helping hand.

Red Flags to be on the Look Out For
  • Appears to have dominant hand (only using 1 hand to reach/grab items)
  • Not tolerating tummy time well
  • Not bringing hands together at midline (4 months)
  • Not transferring objects between both hands (6 months)
  • Difficulty transitioning to bottle feeding, puree or table foods
  • Not interested in self-feeding (fingers)
1-2 Years
  • Not holding cup/bottle on their own
  • Doesn’t point using index finger
  • Doesn’t use fingers to feed self
  • Little to no interest in using utensils (fork and spoon)
  • Not using a pincer grasp (thumb and index finger)
  • Not showing interest in scribbling or holding a coloring implement
  • Showing decreased variety of foods accepted
At Milestone, we support your child and family in adapting to new ways of functioning and freedom, creating daily routines that are empowering, not stressful.

Talk to one of our occupational therapists about your child today. 

From an Empowered Parent

“Miss Kayla [from Milestone] is the best!! We would follow her to the ends of the earth.  Her calm and caring nature are magic and she can always bring out the smiles in our daughter.  Her passion and talent have had a tremendous impact on our family.  We <3 Miss Kayla!”


Bringing Joy To Everyday Activities

Occupational therapy covers a wide range of activities and behaviors that your child may be struggling with…think: sensory processing, eating, playing, sleeping, learning and social development to name a few.   Here are more specific examples for when our OT’s can help get involved:


Dressing, Shoe Tying, Brushing Teeth, Grooming, Hygiene


Handwriting, Grasp, Buttoning, Using Scissors


Safely Navigating Environment, Sitting / Walking / Crawling Independently


Accepting Variety of Foods, Oral Motor Skills, Feeding, Drinking, Using Utensils


Transitioning to new activities, responding to changes in routine, emotional and sensory regulation


How your child focuses on play activities, family members and peers


Sound, Touch, Taste, Smell, Movement and Balance


Sharing, Turn-Taking, Playing with Peers, Playing In Creative Ways

Meet Your Milestone

Occupational Therapists

Whether your challenges are big or small, our caring team of occupational therapists can illuminate a new path forward for your child and your family so everyday activities can be joyful.
Image of Yael B. Occupational Therapist

Jael B., MS, OTR/L

SOS Approach To Feeding


I am obsessed with bedsheet fasteners. =)



Even though it’s exhausting, I find that playing with kids is immensely gratifying.

Jael received her bachelor’s degree in Occupational Therapy while living in the Philippines, where she grew up.

She has a diverse background in school-based therapy, inpatient and outpatient early intervention, NICU, skilled nursing and acute inpatient rehabilitation, within Los Angeles and Orange County.

Prior to working at Milestone, Jael lived in Singapore and ran programs in a military child and youth center for over four years. Jael is a foodie, experimental to some degree, and in her free time, enjoys reading subtitles in foreign films.



  • SOS Approach To Feeding

Monica E., MS, OTR/L

SOS Approach To Feeding


I still love the New Kids on the Block.



Helping people of course is rewarding! Specifically, kids are the future.  I  look up to them & they are silly, weird, awesome, and fun.

Monica graduated with her Masters of Occupational Therapy & minor in Psych in 2008 from Towson University in Baltimore, Maryland.

Monica has pediatric experience in a variety of settings including school, private practice, and in-home therapy. 

Working with children is where Monica’s passion lies, however she also works with adults in skilled nursing facilitites and practices Craniosacral Therapy & Acupressure.

Monica has 3 kids and 2 dogs which keep her life entertaining and busy! She also enjoys crafts/painting, hot yoga, kickboxing, hip hop dance, & traveling!



  • SOS Approach To Feeding
  • Cranial Sacral Therapy

Victoria “Tori” H., MS, OTR/L

SOS Approach To Feeding


I love to hula hoop!



I have always loved working with kids. I love their innate goodness and curiosity about the world around them.

Born and raised in Southern California, Tori received a Bachelor’s degree in social science with a primary emphasis in child development and secondary emphasis in psychology in 2010. She then went on to receive her Masters degree in Occupational Therapy from the University of St. Augustine in 2013. 

Tori has experience in a private pediatric clinic setting, working with kiddos ranging from 4 months to 22 years. She has experience with a variety of diagnoses and enjoys collaborating with family members to provide a unique plan for each individual.  

In her free time, Tori enjoys traveling, camping and spending time with family.



  • SOS Approach To Feeding
  • Hand Writing Without Tears
  • Visual-Perceptual + Visual Motor Rehab

Carissa L., MOT, OTR/L

SOS Approach To Feeding


I can roll my tongue and fold it in half completely sideways. No one else in my family can do this.



After my dad’s car accident and a year of therapy, I knew I wanted to be a therapist. Working with families has been such a blessing.

Carissa is a native Californian. She received her Master’s degree in Occupational Therapy from Loma Linda University in 2015. 

Carissa has experience in both adult and pediatric outpatient clinic settings, but her passion has always been helping children. She now enjoys working with children in both clinic and early intervention home therapy settings. 

During her free time, she enjoys baking, singing, rooting for her favorite sports teams, and going on fun adventures with her husband and dog.



  • SOS Approach To Feeding
  • Handwriting Without Tears
  • Beckman Oral Motor Protocol
Occupational Therapist

Adrian N., MOT, OTR/L


I once lived in a tent in Alaska for 6 months!



Occupational therapy allows me to make a positive difference in the world and in the lives of others while having fun and playing with kids! What could be better than that!?

Adrian has lived in Southern California for about five years where she received her Masters of Occupational Therapy from Loma Linda University.

Pediatrics is her OT passion and she is thrilled to be working with San Diego families at Milestone Clinic!

Adrian grew up in Michigan where she received her Bachelor’s of Fine Arts degree in Interior Design in 2005. Adrian lived in Washington State for over a decade, where she worked as a designer in Seattle.

She also completed an Ayurvedic Wellness Counselor training with Kerala Ayurveda Academy and a Holistic Health Coaching program through the Institute for Integrative Nutrition. Adrian owned her own health and wellness business for about 8 years, during which she co-authored a book, titled, “The Mindbody Cleanse: A 14-Day Detox and Rejuvenation Program from Ancient Ayurveda.”

In her free time, Adrian enjoys hiking, backpacking, camping and rock climbing. She also loves to read – historical fiction and biographies are her favorite.

Rachel O., MOT, OTR/L

SOS Approach To Feeding


I used to be a figure skating coach and still skate weekly for fun!



I have always loved working with kids and love the joy that they have for life. I love working to support them in achieving their highest potential .

Rachel was born and raised in San Diego. She received her Master’s degree in Occupational Therapy from the University of St. Augustine, San Marcos in December 2020.

She has experience working in hand therapy rehabilitation and pediatric outpatient therapy with a focus in sensory integration.

In her free time, Rachel enjoys figure skating, going to the beach, reading, yoga, and exploring new restaurants and coffee shops!


  • Integrated Listening System (iLs) Focus system certification
  • CLASI Module 1 training in Ayres Sensory Integration
  • SOS Approach To Feeding
  • Vital Links Exploring Auditory Defensiveness certification

Jasmine O., MA, OTR/L

Lead Occupational Therapist


I didn’t learn to (sort of?) swim until I was in my mid 20’s. 



Coming soon.

Jasmine was born and raised in San Francisco. She received her Master’s degree in Occupational Therapy from the University of Southern California.

Prior to occupational therapy, Jasmine has worked in infant cognition research, business management research, and early childhood education.

Jasmine also has experience in hand rehabilitation in urgent care, acute care at a tertiary care academic hospital, and mental health wellness with veterans transitioning out of homelessness. 

When she’s not in the clinic, Jasmine is probably visiting a national park, collecting house plants, or traveling.



  • SOS Approach To Feeding
  • Handwriting Without Tears
  • The King of Swings Sensorimotor Workshop
  • Astronaut Training – A Sound Activated Vestibular-Visual Protocol
  • DIR-Floortime Approach 
Occupational Therapist

Rupa P., OTD, OTR/L

SOS Approach To Feeding


I love anything active and outdoors! (running, paddle boarding, hiking)



I love helping people reach their full potential! I love being able to work with a multidisciplinary team to give families truly holistic care!

Rupa is originally from the Bay Area (Fremont, CA). She now lives in Hillcrest!

She received her doctorate of occupational therapy at the University of St. Augustine in August 2020.

Rupa has worked in pediatrics outpatient, inpatient rehab, school setting, and in the NICU.

In her free time she likes to spend time with friends, go to the beach, paddle board, snowboard, and watch sports!



  • SOS Approach To Feeding

Frequently Asked Questions

  • It can sometimes be difficult to know if a service is needed for your child. That’s why at Milestone Pediatric Therapy we offer free consultations to help guide you to the best treatment for your family. Our therapists’ goal is to get you the help you need and for your family to be empowered to make the next best choice for your child. Additionally, speaking with your doctor is also helpful to decide if therapy is needed.

    • Attention-deficit / hyperactivity disorder (ADHD)
    • Auditory Processing & Reading Difficulties
    • Autism Spectrum Disorder (ASD)
    • Cerebral Palsy (CP)
    • Developmental Delays
    • Down Syndrome
    • Feeding Difficulties & Aversions
    • Genetic Conditions
    • Gross and Fine Motor Delays
    • Hypotonia/Hypertonia
    • Neurological Conditions
    • Sensory Processing Disorder 
    • Social Skills Deficits
  • At Milestone Pediatric Therapy, we believe a child’s occupation is to PLAY! And playing is exactly what we plan to do during our OT sessions. We use a wide variety of therapy equipment (swings, slides, climbing structures, and crash mats to name a few) to make the experience fun and engaging for your child and family. We use your child’s interests and goals to structure each session. The OTs will provide parents and caregivers with resources and skills to incorporate into your daily routine, adapt activities to allow for maximum independence, and shape the environment for engagement and participation across settings.

  • Yes, we do!  It’s our goal at Milestone to excel in bringing the latest OT research and techniques and providing them to your family.  We currently have 5 OT specialties and are always adding!

    • SOS Feeding Therapy: A no-pressure approach to expanding foods in your child’s diet
    • Handwriting Without Tears: A child-centered approach to developing handwriting skills
    • Neurodevelopmental Therapy (NDT): A holistic approach to movement
    • Constraint-Induced Movement Therapy (CIMT): A form of rehabilitation therapy that can improve the use of a child’s upper extremities caused by a stroke or other central nervous system damage.
    • Developmental Individual-Differences Relationship (DIR) Floor Time Approach: This is a developmental model for assessing and understanding any child’s strengths and weaknesses.  It has become particularly effective at identifying the unique developmental profiles and developing programs for children experiencing developmental delays due to autism, autism spectrum disorders or other developmental disorders.

Let’s Connect

We would like to meet with you and your family to determine how we can help.

Book a call