Creativity, originality, and experience are core components of our therapy team. Our group of experienced therapists and assistants provide individualized treatment that considers the whole family and whole child. 

Toa Panapa, Office Manager


As the Office Manager, Toa consistently goes beyond the call of duty to do what is necessary to ensure each family is served thoughtfully and well. Toa is responsible for making sure all areas of the office and therapy team are able to run smoothly. His efficiency and resourcefulness is a great asset to our team. Family satisfaction is his greatest priority.

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Christopher Branch,  Health Care Manager 

Christopher has a degree in healthcare administration and has years of experience in managing scheduling and healthcare offices. 


Irene Ingram, Founder, Occupational Therapist


Irene Ingram has been an Occupational Therapist since graduating from the Medical University of South Carolina in 1978. In 1980, she founded Therapeutic Designs and Services, Inc. to provide therapy for children in a creative environment.  She was cetified in Sensory Integration in 1981.


She has developed research opportunities to advance the study of the autonomic nervous system's role in trauma, stress, healing, attention, creativity, and reflex maturation. She has also researched and developed specialized skills for treating the head and neck.

Irene has trained in the following disciplines:


  • Auditory integration with the use Therapeutic Listening and Samonas Sound Therapy

  • Cranial Sacral Therapy and Lymphatic Drainage of the brain to assist the body with information processing and overall health. Read More...

Betty Howell, Occupational Therapy Assistant


Betty is an integral component of the team at TDS. She has a soothing and calming demeanor that helps children feel at ease when they arrive. Betty enjoys building relationships with the children and connecting on a personal level. She has a special gift for listening, and truly gives every child her utmost attention. She is flexible and open-minded which gives her the ability to work with children of all ages and under all circumstances.


Betty received her Occupational Therapy Assistants degree from Pitt Community College in Greenville, North Carolina in 1996. Since then, she has been engaged in a variety of different therapeutic work experiences.  She has worked as a Certified Occupational Therapy Assistant (COTA) in both the school and health systems. She has provided outpatient treatment through rehabilitation and pediatric therapy services.

Ashley Evans,  Occupational Therapist


Ashley graduated in May 2018 with a Master's of Occupational Therapy from the University at Buffalo. During her time at university, she was a Division 1 Student-Athlete on the women's soccer team, a tutor, youth soccer coach and worked in a childcare facility. Ashley has gained much experience working with people from 6 months old to 21 and loved every second of it. Young people have shown her that there is resilience and beauty instilled in all. Ashley has also completed further learning opportunities with sensory integration, DIR/Floortime and feeding which she found an interest in. She is always looking for ways to learn and use her knowledge to guide others.

Ashley loves to travel and has been to nine different countries and has 8 more states to visit in the US! The cultural diversity and various ways of life intrigue her. Traveling reminds her of her favorite quote by Helen Keller: “Alone we can do so little; together we can do so much”. Ashley does her best to live by this quote working together with the kiddos and their family as a team.


Morgan Howle, Occupational Therapy Assistant 


Morgan is a 2017 graduate of Trident Technical College. She has always had a passion for working with children and loves helping them grow through play. She is a good problem solver and is driven to continue learning new and better ways to treat the children she works with. Morgan is a Hartsville native and is happy to be back serving her community. In her free time, Morgan enjoys going on walks, being outdoors and spending time with her dog Abby. 

Danielle J. Reames, Speech Language Pathologist

Danielle graduated from Columbia College in 2012 where she received her Bachelor’s of Arts in Speech-Language Pathology.  She then went on to purse her Master’s Degree at Appalachian State University and graduated in 2014 with a Master's of Science in Speech-Language Pathology. She was licensed by the American Speech Language and Hearing Association with a Certificate of Clinical Competence and has 4 years experience in the field. Danielle is a full-time employee for the Darlington County School District where she works closely with the Preschool and Kindergarten Special Needs students and regular education. She enjoys working with children of all ages and with varying disabilities.

Beverly Cannarella, Speech Pathologist


Beverly loves to establish a relationship with each and every child she works with. With a calm and confident demeanor, Beverly is determined to bring out the best in a child. Using positivity as her foundation, she breaks off a child's old belief system that they "can't" do something and implants in them a desire to come forth in the area of communication. Beverly's therapy style is functional and meaningful, so that her work correlates with the child's needs and can be applied to their everyday life. 



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Elizabeth Quinn,  Speech Language Pathologist


Elizabeth is a Hartsville native who moved back home to this special town 15 years ago. She graduated in 1994 with a degree in Secondary English Education, then attended the University of South Carolina, achieving a Masters plus 30 in Communication Sciences and Disorders in order to become a speech-language pathologist. Mrs. Quinn has been a speech-language pathologist for 24 years and has provided speech services to adults and children in a number of different settings, addressing a variety of communication delays and disorders. Primarily she finds her joy working with the pediatric population and has had the opportunity throughout her career to work with children with autism and special needs. She enjoys working alongside and collaborating with the wonderful staff at Therapeutic Designs and Services.  Mrs. Quinn also works with the Darlington County School system. She loves spending time with her husband, two children and their sweet Boykin Spaniel Louie.  In her free time, she loves to travel, spend time on the South Carolina coast, and follow Clemson football.


Nicole Kennedy, Physical Therapist

Nicole graduated from the Medical College of Georgia in 1985 with a Bachelor of Science in Physical Therapy. She has practiced in Georgia and South Carolina in a variety of settings including outpatient clinics, home health, rehabilitation centers, and at the Medical College of Georgia Medical Center. Nicole has a private practice in Hartsville, SC which was established in 1993. She specializes in pediatric physical therapy and yoga therapy for adults and children. She has training in NDT, Sensory Integration, Myofascial Release, Balance Training, and Kinesotaping, and Yoga for the Special Child. Yoga therapy training has included Phoenix Rising Yoga Therapy, YogaFit Level 1, Yamuna Body Rolling, and Professional Yoga Therapy Studies

Sarah Robker,  Speech Language Pathologist


Sarah graduated from the University of South Carolina in 2018 with her Bachelor of Arts in Elementary Education. She immediately went on to pursue her Master's Degree in Speech Language Pathology from the same university, with which she graduated in 2020. While there, she worked as a Graduate Research Assistant for the South Carolina Research on Language and Literacy Lab (SCROLL Lab), focusing on studies related to reading comprehension. Sarah also has a particular interest in therapy intervention designed for receptive and expressive communication growth. She has always loved working with children and finding new ways to help them succeed, and believes functional and individualized communication always works best. She grew up in Hartsville, and is excited to be back in the community. In her spare time, she loves to draw or read, go to the beach, and spend time with family. 


Victoria (Tori) Grant, Occupational Therapist


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Tiffany Logan, Occupational Therapy Assistant


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Mary Alice Gainey, Occupational Therapy Assistant


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Heather Boatwright, Occupational Therapist


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Janna McIntyre


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Cynthia Dawn Katko


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Katelyn Kondla


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