About




We're dedicated to your child's wellbeing.

Rhythm & Bloom Therapy provides early-intervention services for infants and toddlers in south-central Pennsylvania through a unique blend of music therapy and special instruction. Founded by board-certified music therapist Joanna Kirby Karns, MT-BC, the practice partners with families to support developmental growth in natural home and community settings. Using rhythm, melody, and musical play, sessions target communication, motor, cognitive, and social-emotional skills. Services are free to families who qualify through their county’s Early Intervention program. By coaching caregivers and embedding learning into daily routines, Rhythm & Bloom helps children grow, connect, and thrive through the joy and structure of music.

Joanna Kirby

The founder of Rhythm & Bloom Therapy, Joanna Kirby Karns, MT-BC is a Board-Certified Music Therapist and Early Intervention (Infant/Toddler) Special Instructor with over 20 years of experience serving families in Dauphin, Cumberland, and Perry counties. She is an Endorsed PA Early Intervention Coach and offers continuing education instruction in addition to her therapy practice. 

Sarah Dalto

Sarah Dalto serves as the Executive Administrator at Rhythm & Bloom Therapy.  With a strong background in operations and team coordination, she ensures the smooth running of day-to-day activities, supports clinical staff, and fosters a welcoming environment for clients and families. Passionate about the transformative impact of music therapy, Sarah brings both heart and precision to the role—making sure every note of care is delivered with harmony. 

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No-Cost Service

We provide services in Cumberland, Perry, and Dauphin counties. Services are provided in home and community settings at no cost to families when their child qualifies with a diagnosis or developmental delay.

$0

No-Cost Service

We provide services in Cumberland, Perry and Dauphin Counties. Services are provided in home and community settings at no cost to families.