My 2 year old has many dev delays and when you look at her or talk to her she always seems distant like she is in her own world?

Call Ohio's Help Me : Grow program (http://www.Ohiohelpmegrow.Org/) to assess her hearing, the severity of her mixed developmental delays, & the presence of autistic spectrum disorder or social communication disorder to begin intensive behavioral & developmental therapy asap. Also seek referral to a developmental/ behavioral pediatrician to look for genetic or other medical causes of her neurodevelopmental disorder.