As an occupational therapist she has practiced in pediatrics for 20 years in a variety of settings. She has specialized in occupational therapy using Ayres sensory integration approach and uses a play based approach to practice in all work settings. She is the editor of Autism: A Comprehensive Occupational Therapy Approach, and she recently co-authored an assessment tool for pediatric occupational therapy called the Sensory Processing Measures. She is a past committee member of both the sensory integration and the school system special interest sections of AOTA, serving as Quarterly Editor for both, and is the current Vice President of the Connecticut Occupational Therapy Association.