• All OT team members hold a Masters or Bachelor’s Degree in Occupational Therapy.
  • All therapists are approved by the Registry of Autism and Service Providers (RASP), or are currently receiving supervision for the RASP under the Supervised OT category.
  • All therapists are fully licensed and registered with the College of Occupational Therapists of British Columbia (COTBC) and Canadian Association of Occupational Therapists (CAOT).
  • Our therapists value teamwork and professional development opportunities to make treatment successful and cost-effective for families.

Keith Landherr, M.A., OT

IMG_8330AdjustedKeith is a graduate of New York University’s Occupational Therapy Program and has over 20 years of experience as an Occupational Therapist. Keith has advanced training in Sensory Integration, Therapeutic Listening, Neuro-Developmental Treatment, and is a certified DIR Floortime ® Trainer. He received his feeding and swallowing training from Babies Hospital of New York City. He has presented to child development centers in British Columbia and New York City, and has provided lectures for ICDL’s DIR Floortime ® Training Program, New York City Department of Education, and Babies and Children’s Hospital of New York, and as an adjunct professor of Occupational Therapy at New York University. Keith has training and experience in treating sensory processing differences in individuals from birth through adulthood, early intervention programs, school-based services and private Occupational Therapy clinics. Keith strives to provide family-centered treatment to children and families while honoring their unique histories and individual differences. Keith is currently a Ph.D. student in the Fielding Graduate School for Infant and Child Development.


Emma Brady, B.OT

Emma completed her Occupational Therapy degree at LaTrobe University in Melbourne, Australia, where she focused her studies on pediatrics. She has worked as an Occupational Therapist in both Australia and Canada with children with a variety of diagnoses, including autism spectrum disorders, learning difficulties, down syndrome and developmental delay. Emma’s past experiences include working in early childhood intervention services, home and community-based services, private OT clinics and an autism-specific preschool. She is dedicated to providing family-centered services, and has a passion for helping children to develop functional skills through play and relationship-based therapy approaches. Emma has completed advanced training in the Sequential Oral Sensory (S.O.S.) Approach to Feeding (ASD), is a certified Basic DIR Floortime ® Provider, and has completed the Level I Mentorship Program at the STAR Institute for SPD.


Lillie Ryan, M.Sc. OT

079_RyanLillie-IB(Webview)Lillie received her Masters of Science in Occupational Therapy from McGill University and completed a Bachelor of Arts in Psychology at the University of British Columbia. She has extensive experience working with children diagnosed with varying disorders, primarily developmental disorders such as Down Syndrome, Autism Spectrum Disorder, and Attention Deficit Hyperactivity Disorder. Lillie has previously provided services to children and their families as part of a multidisciplinary team in the school, clinic and rehabilitation settings. Lillie is passionate about working with children, values client-centered practice, and uses a relationship-based approach to therapy. Lillie is trained in the Sequential Oral Sensory (S.O.S.) Approach to Feeding and has completed the Level I Mentorship Program at the STAR Institute for SPD.

Sam Wade, M.Sc. OT

IMG_2248Sam graduated from Queen’s University with his Master’s of Science in Occupational Therapy in 2015 and also received a Bachelor of Arts degree in Psychology from the University of Victoria in 2011. His experience ranges providing services in hospitals, homes, schools, and private clinic settings. Sam stays very active in the OT community advocating for inclusion and accessibility and was the chosen recipient in his class for the award of Outstanding Communication in Practice. Sam is devoted to client and family-centred care. He is passionate about using play to help give children and families tools and strategies for success in everyday life. He has experience using a variety of assessments and intervention tools and is diligent is pursuing professional development. Sam is a certified Basic DIR Floortime ® provider, and holds designations in Level 1 Dyadic Developmental Psychotherapy and Mandt system training.

 Tiffany Kobbero, M.OT, BA

Tiffany KobberoTiffany received her Master of Occupational Therapy (MOT) degree from the University of British Columbia and her Bachelor’s of Arts degree in Psychology & Criminology from Simon Fraser University. She has experience providing occupational therapy services to children with diagnoses such as Autism Spectrum Disorder and Down Syndrome. Prior to completing her MOT she worked for seven years in early intervention with children with various diagnoses including cerebral palsy, hearing and vision impairments, global developmental delays and more. Tiffany is enthusiastic to provide services in a family-centred framework and assist children in maximizing their functional goals through play-based and relationship-based therapy. Tiffany has completed the DIR Floortime Regulatory Sensory Processing Disorders workshop. She is a Registered Autism Service Provider (RASP).


Alysha Paiaro, M.OT

Alysha PaiaroAlysha recently graduated from the University of British Columbia in Vancouver with her Master’s of Occupational Therapy. She has provided services in hospitals, schools and homes locally and in the Yukon. Alysha has experience providing children with customized communication devices, wheelchairs and other assistive technologies. She also received a Bachelor of Design from Emily Carr University of Art + Design where she focused her studies on the design of custom clothing, toys and exercise equipment for adults and children living with disabilities. She has been a gymnastics coach for over 10 years, and has experience adapting sports programs for children with autism spectrum disorders, developmental delay, ADHD and muscular dystrophy. Dedicated to building genuine relationships with of all her clients, Alysha strives to honour the unique strengths, skills and dreams of all children while providing family-centered care.


Nancy Lara, B.ScOT

Nancy has worked as a pediatric occupational therapist in both community and school settings in the Philippines and in private clinic settings in Canada. She has a number of years of experience working with children diagnosed with autism spectrum disorders, ADHD, cerebral palsy and other developmental disabilities. Nancy is trained in Handwriting Without Tears and in the Sequential Oral Sensory (S.O.S) Approach to Feeding, and speaks Tagalog.