Therapy Solutions Staff

Amy Dubey

Amy Dubey


I have been an Occupational Therapist (OT), since 2000. Before becoming an occupational therapist I received my Bachelor of Science in 1993, in Business Administration, majoring in Marketing and minoring in Logistical Management and Human Resources.

Therapy has been my dream job since my youth. I spent 3 years not walking due to an injury playing outside. I had several surgeries and years of Physical Therapy. This is where my interest in therapy began. During those years of not walking my mother made me find a way to participate in everything from playing to chores. She used to say, “Amy, you don’t know if you will always be like this, so figure out a way and do it.” So I learned to hop on one foot while cutting the lawn, cleaning the house by scooting around, playing lots of cards and training our dog some really neat tricks. Then in 2001 I had Bell’s Palsy on the right side of my face (Bell’s palsy is a paralysis or weakness of the muscles on one side of your face). I could not keep my right eye open, my right side of upper lip kept getting bit, and my face was numb. Having this gave me the experience with losing the ability to move or sense a part of my body that I wanted to use daily and also how frustrating it was to not be able to use it or know if it would ever return. Most of it returned but there are still some deficits with muscle movement and vision.

In 2003 I started Therapy Solutions to provide private practice services to clients in northern Michigan. My passion to help others has continued to grow exponentially year after year! I sought out additional training, certifications, education, and experiences to enhance my understanding of the nervous system and brain and how it impacts persons with deficits in these areas. In addition, I continually reach out to clients, caregivers, and attend educational events to learn how to assist families who are dealing with deficits in a family unit.

On a personal note, I am a wife and mother of 2 teenage boys. I love being physically active in outdoor activities including skiing, swimming, biking, hiking etc. My love of dogs has motivated me to raise 3 puppies to be Leader Dogs for the Blind. In my “spare” time I am an active member on 2 boards in the Northern Michigan community.

My training includes:

  • Certified in Vestibular Assessment and Management (since 2018)
  • Certified Brain Injury Specialist (since 2010)
  • Advance trained Integrated Listening System Practitioner (2013)
  • Certified Interactive Metronome Provider (2005)
  • Sensory Integration and Praxis Test (2003)
  • Webinars, conferences, courses, and presentations

Current Member of:

  • Michigan Occupational Therapy Association (MiOTA)
  • National Board of Certified Occupational Therapists (NBCOT)
  • American Occupational Therapy Association (AOTA)
  • Brain Injury Association of Michigan (BIAMI)
  • Brain Injury Network of Northern Michigan (BINNMI)
Beth La Framboise

Beth La Framboise


My story of becoming a Speech-Language Pathologist was not without twists and turns. I received speech therapy in first grade because I had a lisp. I had no idea at that time that my life would lead me to that career. I received my BA from Michigan State University in 1991 in Communication Arts and Sciences. It got me as far as retail management (which I DID love, by the way), but I just didn’t feel fulfilled. I had dabbled in “speech therapy” classes at MSU and was intrigued by the material but didn’t give it much thought until I realized I needed something more than retail. Western Michigan University has an excellent Speech Pathology program and I was living in Kalamazoo at the time. I applied to the program and was accepted. I graduated with my Master’s Degree in Speech-Language Pathology in 1996.

During one of my first student internships, I worked with a 39 year old man who had been in a snowmobile accident and had sustained a brain injury. The extent of his injury was dampened by his insight, motivation and fiery determination. Being a part of his recovery, even for just a couple months, always stayed with me. Now, as an independent contractor at Therapy Solutions, I am thrilled to continue to work with so many clients with brain injuries. They demonstrate such unimaginable resilience which I, selfishly, love to be surrounded by. They humble me. They challenge me. And I wouldn’t change my career for the world.

I live in the middle of the woods in Alanson with my husband of 18 years and our two tiny fur babies.

My training includes:

  • Certified Brain Injury Specialist (2010)
  • VitalStim provider (2004)
  • Pragmatic Organization Dynamic Display (PODD) certification
  • 2 ACE awards from ASHA for continuing education
  • Preceptor of the Year Award from GVSU (2016) for student supervision

Current Member of:

  • American Speech Language Hearing Association (ASHA)
  • Michigan Speech Language Hearing Association (MSHA)
  • Brain Injury Association of Michigan (BIAMI)
  • Brain Injury Association of America (BIAA)
  • Brain Injury Network of Northern Michigan (BINNMI)
Carrie Bell OTR/L

Carrie Bell


I am a Petoskey local, loving each season that comes and goes. Growing up, I had the sweetest summer job-teaching children and teenagers how to sail. I would like to say that the majority of the time was spent dry, and in the boat, but a great chunk of time was spent with our boat tipped over and very wet. While in high school, I explored career options that incorporated any aspect of teaching without actually being in a classroom. After exploring special education, elementary teaching and nursing, I finally looked into Occupational Therapy. It provides the opportunity to work with people, incorporating both teaching and the opportunity to understand the what, how and why of medical conditions and treatments.

I began classes at Western Michigan University in the fall of 2011. During my time in Kalamazoo I taught swimming lessons to children of all ages. My supervisor seemed to think I was good with the younger children as I consistently found myself teaching the 3-5yr olds who were new to swimming. It was not uncommon to have a fearful child in one arm while supporting a child in a back float on the other arm. In December of 2015, I graduated with my Master’s of Science in Occupational Therapy, and in February of 2016, I passed the National Board Certification for Occupational Therapy (NBCOT). Since then, I have been working at various locations, including contracting here with Therapy Solutions since the Fall of 2016.

The brain and nervous system is fascinating. I am intrigued by the intricacies of brain development and function, how that is affected growing up as well as following an injury. Down the road, I hope to incorporate sailing back into my summers, but this time with the boat consistently upright and dry. My hope is to use it within my practice as an occupational therapist because of the physical and cognitive benefits associated with this skill.

My Training Includes:

  • Integrated Listening Systems Practitioner
  • Interactive Metronome Provider
  • Conferences and webinars

Current Member of:

  • American Occupational Therapy Association (AOTA)
  • Brain Injury Network of Northern Michigan (BINNMI)

Ashley Lamoreaux


When I graduated high school in 2015 I wasn’t quite sure what I wanted to do. I thought Physical Therapy was the best option for me after having received it many times. I used to play softball and volleyball, which came with a few injuries and therapy sessions to boot. After my first year in college I realized that physical therapy was not for me and began researching other options. I came across Occupational Therapy and had remembered both my grandparents having it at various times. I always had this fire inside me to help others therefor began my journey in the field of Occupational Therapy. I always thought working with the elderly in Skilled Nursing Facilities was what I wanted until I had my internship here at Therapy Solutions in October of 2018. After being here I came to realize that the neurological aspect of this field fueled something inside me. I became increasingly interested in learning more about TBIs and all other neurological diagnoses. After graduating from OTA school in May 2019 and working at The Villa at the Bay, I found myself back where my story started here at Therapy Solutions.

Renee Foreman

Renee Foreman


My therapy journey began after I finished High school at Harbor Springs (Go Rams!). Clueless of the direction in life I wanted to commit to, I enrolled at the Marquette School of Therapeutic Massage and Bodywork. I knew I had a desire to help- to heal, and this school was a great stepping stone for me to realize how amazing and complex the human body is. Upon completion, I moved back to Harbor Springs and continued my education as a Personal Trainer, and Group Fitness Instructor for Pilates, Spin Class, Boxing and Strength Training. While networking for business, I met Damon Whitfield (my forever boss) and he encouraged me to apply at a clinic he was working with. I’m not going to lie, I was 21 and I really didn’t know all the aspects of Physical Therapy. I spent 7 years as a PT tech and loved the dynamics that the Therapist had with the Patients. The challenges, the rewards, I wanted to take the leap and become a Therapist! In 2011, I was accepted into a partnership program between Macomb Community College and North Central Michigan College for Licensed Physical Therapist Assistants. 2 years of full time school and 3 clinical rotations which included outpatient experience at Northern Michigan Sports Medicine in Cheboygan. Inpatient/outpatient experience from Charlevoix Area Hospital, and Skilled Nursing experience and Emmet County Bay Bluffs. In 2013, I graduated and began a whole new journey into the world of Physical Therapy.

Now that you know about my super powers as a therapist, my civilian life entails outdoor activities of biking, jogging at a snail’s pace, spending time at a beach under an umbrella with SPF 100. I would say I enjoy nature hikes, but about a mile in, I fear of being mauled by a bear and it sours the experience. My indoor activities include working out in air conditioned environment, spending useless time browsing the internet for questions like “why don’t we ever see baby pigeons?” and most of all binge watching a show on Netflix while enjoying a glass of Pinot Noir. Oh, before I forget, I’m a loving wife and a proud mother of a 3 year old girl.

Experience includes:

  • Boulder Park, Charlevoix (Skilled Nursing & Rehabilitation)
  • Emmet County Care Facility Bay Bluffs (Skilled Nursing)
  • McLaren Northern Michigan (Acute Rehab Unit and Inpatient Therapy)
  • Harbor Springs Therapy and Wellness (Homecare and In-home Physical Therapy)

Tammie Kuhn


After graduating from high school and attending college for 3 years I decided to take
some time off to find out what I really wanted to do with my education. For the next 10
years I worked as a dental assistant, fitness instructor, waitress, and personal trainer.
During that time I was introduced to Physical Therapy when my Dad experienced a
stroke and was admitted to an in-patient rehab facility. Although he lost most of the
function on his left side, he returned to independent living, teaching real estate classes,
commercial real estate appraisal, and sailing. I think the seed for Physical Therapy was
planted then.

I returned to school at the University of Michigan (after 10 years off) to get my BS in
Kinesiology, with plans to pursue my graduate degree in Physical Therapy. However, I
was derailed for one year with an opportunity to travel around the world on a bicycle…
truly a life-changing experience pedaling through third world countries. I was fortunate
to share most of my travels with my now-husband Chris. We were engaged in
Kathmandu, Nepal, and married a few months later after returning to the USA.
I attended the University of Rhode Island earning my MS in their Physical Therapy
program, encouraged the whole time by my husband Chris. The long-distance
marriage for three years was difficult but Chris always understood how important it was
to wake up every morning loving what you do for a living. I am so grateful for his
support because I truly love what I do.

Since graduating in 1996 I have worked in a variety of settings including in-patient
acute care, in-patient rehab, subacute rehab, and the past three years in an out-patient
clinic. I am very excited about my recent connection with the exceptional team at
Therapy Solutions since much of my continuing education over the past 23 years has
been focused on neuro rehab. Last year I became LSVT BIG Certified.

“LSVT BIG is an intensive, effective, one-on-one treatment created to help
people with Parkinson’s disease (PD) and other neurological conditions
address walking, balance and other activities of daily living (for example,
writing, dressing and getting up from low chairs) or even job-related tasks.
Through these sessions, LSVT BIG treatment trains people to increase the size
(amplitude) of their movements from head to toe. These improvements may
also extend to smaller tasks, like buttoning or writing.”

Outside of work my passions include mountain biking, sailing, skiing, hiking, traveling,
and sharing the journey of my two amazing children, an 18 year old son who is about
to ‘fly the coup’ and find his way in the world, and a 16 year old daughter who was just
nominated to the US Freestyle Ski Team for Aerials. She lives and trains full-time in
Park City, Utah and is hoping to compete in the 2022 Olympics.

Robin Feagan


I started downhill ski racing at the age of 8 with the hope of someday being able to ski race at the collegiate level. During my senior year of high school, I was offered a position on Rocky Mountain College’s women’s alpine ski team, which I gratefully accepted.

As I started college, my career aspirations were either to become a physical therapist or a teacher.  Little did I know, my first collegiate ski race would help narrow that decision even further.  During the race I fell and dislocated my shoulder.  I was forced to temporarily stop skiing and undergo physical therapy.  Thankfully, my shoulder stabilized enough so I could finish the season wearing a protective brace.

After the season, I underwent surgery to further stabilize my shoulder.  I spent a month with my arm immobilized and then began more physical therapy. It was not an easy process, but, looking back I am grateful.  Not only did the experience solidify my desire to become a physical therapist, it also gave me the knowledge of what it feels like to be a patient.

I graduated from Rocky Mountain College in Billings, Montana with a Bachelor of Science degree in 1998.  That same year, I started physical therapy school at Mayo Clinic’s School of Health Related Sciences in Rochester, Minnesota.  What impressed me most about Mayo was it truly followed its value statement, “The needs of the patient come first.”  I graduated from Mayo with my Master of Physical Therapy degree in 2000, and their value has remained with me ever since.

Over the years I have practiced in a variety of settings including inpatient, acute rehabilitation, skilled nursing, outpatient and home health.  I have continued my education through attending various conferences, presentations, webinars, and reading journal articles.  It is truly an honor to help patients achieve their goals, and to be a part of the incredible team at Therapy Solutions.

Personally, I am a wife and mother of a daughter and son.  Our family resides in Harbor Springs, where we enjoy spending time outdoors whenever possible.

Taylor Moore


After graduating with my tiny class of fourteen from high school, I decided community college would be the best place for me to decide on a future path. I originally started taking classes toward an engineering major, and quickly realized after I received my worst grade of all time that manipulating objects on a computer screen was not for me. When I did decide to pursue speech-language pathology, I originally wanted to work with children in the school system. My perspective completely changed when I was an intern here at Therapy Solutions last summer (2018) where I decided helping adults was just as exciting and rewarding.

I graduated with my Master’s of Science in Speech-language pathology in December 2018 and Petoskey became my new home in February 2019. In my free time, I enjoy rock hunting, exploring new trails, and taking too long of naps. I am thrilled to be working in such a positive and uplifting environment. The nervous system and neuroplasticity continue to fascinate me and I am inspired by each client’s journey.

Katie LaVoie


 I graduated as a Speech-Language Pathologist in May of 2013. I had an opportunity as a young high school student to observe with a local Speech-Language Pathologist at our small community hospital. From the moment my mentor explained what it was really like to be a Speech-Language Pathologist I knew that was what I wanted to do too! I received my BS from Eastern Michigan University in December of 2010 and had decided that I would continue and finish my MA at EMU.

After graduation my husband and I moved to a rural community in Northwest Wisconsin where I had vast opportunities from working with young children in our outpatient department to working the aging population on the inpatient side of the hospital. After some time, my husband and I found ourselves longing to move back home closer to family and we were so happy to find our home here in Northern Michigan.

I live in Petoskey with my husband and toddler. We love this community and look forward to raising our small family here.

Experience Includes:

  • Rusk County Memorial Hospital Ladysmith, Wisconsin (Inpatient, Swing Bed Rehabilitation and Outpatient services)
  • Munson Home Health Greater Traverse City Area
  • McLaren Northern Michigan Petoskey, Michigan (Inpatient and Acute Rehabilitation)
  • Boulder Park Terrace Charlevoix, Michigan (Sub-acute Rehabilitation)
  • Bay Bluffs Harbor Springs, Michigan (Sub-acute Rehabilitation)

Certifications and Member of:

  • Registered Modified Barium Swallow Impairment Profile Clinician
  • Clinical Certificate of Competency with American Speech Language Hearing Association (ASHA)
Nancy Lyons

Nancy L. Lyons, M.S.


I graduated from the University of Kentucky in Lexington with my Bachelor's and Master's Degrees in Communication Disorders in 1990. Following graduation I moved to Massachusetts where I worked in both a public school and private practice in the Lexington and downtown Boston area. I relocated to Delray Beach, Florida where my most intensive work with the Traumatic Brain Injury population began while working at Pinecrest Rehabilitation Hospital as a part of the Brain Injury Team in the acute and rehabilitation settings. During this time I was highly involved with program development for the Traumatic Brain Injury outpatient program, served on a task force to continue development of policies and procedures for that program and served as team leader of the Brain Injury Team. I was also facilitator to this team to coordinate therapeutic efforts and promote interdisciplinary communication for increasing patient goal achievement.

From Delray I then moved to Cincinnati, Ohio where I worked as a member of the Brain Injury Team at Drake Center Inc. in the acute and rehabilitation settings. While at Drake, I assisted in program development for their new Traumatic Brain Injury acute rehab and outpatient QUEST and Sensory-Motor programs. I also served on their Vocational Committee for exploring and acquiring job trials within Drake Center and the surrounding community to explore client opportunities for pre-employment training experiences. I also worked extensively with the Ohio Brain Injury Association, the Inclusion Network, the Ohio Rehabilitation Services Commission, the Greater Cincinnati Literacy Network, and the YMCA LEARN and Drake Center STEP UP programs to explore literacy options for helping Drake Center clients gain opportunities for increasing literacy learning skills and to create networking opportunities and agency service collaboration for assisting Drake Center clients with vocational training and community re-entry experiences for short and long-term contracts. I also conducted numerous in-service staff trainings, presented at regional conferences, and participated in team research and publication relating to Sensory Motor Stimulation as a Specialized Therapist in the area of Vocational and Community Re-Entry.

In 1998, I decided to return to the public school setting so that I could spend more time with my children and have been primarily working in that setting ever since. I am also very fortunate to be able to work with a variety of adult clients with traumatic and acquired brain injuries and other neurogenic disorders. I am especially passionate about improving client potential for successful vocational and community re-entry.

My family and I are blessed to live in a beautiful area where we can enjoy scuba diving, fishing, snow shoeing, biking and hiking. I am honored to be a member of the Therapy Solutions team who provide such highly-skilled, positive, and functional therapy services for achieving the highest recovery outcomes for all of our amazing clients as well as ongoing training, education, support and networking services for their families and caregivers.

Affiliation Memberships

  • American Speech-Language Hearing Association (ASHA)
  • Michigan Speech-Language Hearing Association (MSHA)

Publications and Research

  • "Interrater Reliability of the Coma Recovery Scale: (co-authored and participated in research study from which content was derived). This information was presented at the 15th Annual Braintree Brain Injury Conference in September, 1994 and approved for publication in Head Trauma Rehabilitation, 1996.
  • "Comparison of the Coma Recovery Scale, Wester Neuro Sensory Stimulation Profile, and Coma Near-Coma Scale in Minimally-Responsive, Brain-Injured Patients: The Drake Center Experience" (co-authored). This article was proposed and approved for publication in Head Trauma Rehabilitation, 1996.
  • "Standardized Assessments for Minimally-Responsive, Brain-Injured Patients" (co-authored). This paper was invited and approved for publication in Neurorehabilitation, 1996.
  • "Community Re-Entry: Bridging the Gap Between Hospital and Home" (authored) This article was written for Drake Center Centerlines publication in 1994.
Tricia Howard

Tricia Howard

Program Director

I have always been fascinated by the human body; however, becoming a nurse or doctor just didn't seem like the right fit for me so, instead, I earned a B.A. in Exercise Science. Not quite knowing what I wanted to do with that degree I began working as a Unit Coordinator at what was then Northern Michigan Regional Hospital. After a year in that role an opportunity to work exclusively in the Acute Rehabilitation Unit opened up and I took it. It was such an extraordinary experience to witness people recover from an illness or accident that I found myself wanting to learn more. Six years later I placed myself in front of Amy Dubey, owner of Therapy Solutions, and the rest is history. I get to work every day with clinicians who truly love what they do, consistently pursue knowledge and apply everything they have and know to the clients we serve in order to help them grow beyond their current limitations. Progress is always possible and these people help change that concept into a reality.


Tracy Hopeck


I have been in the accounting field for over 35 years. I received a BA in Business/Finance in 1987. While the majority of my experience is in the business world, over the years I have had to learn how insurance, Medicare and Medicaid work from both sides of the fence.

In 1994 I was blessed with my first born son. He was born with Down syndrome. His birth changed my life forever. I was told that I should not expect him to do much and he would most likely be lethargic. Well, anyone who knows me knows that was not acceptable to me. I began researching everything I could about Down syndrome and talking to parents of children with Down syndrome and other disabilities… and I learned that he was capable of so much more than I was originally told. I enrolled him in Early Intervention before the age of one, which included Occupational Therapy, then a couple of years later Speech Therapy, taught him to communicate using Sign Language, all the while watching him bloom into a very special person. Through a lot of hard work and perseverance, I managed to help him grow and achieve things that I was originally told he would never do. This battle never ends and I will never give up on him.

Over the years I have been in contact with numerous individuals of all ages with many different challenges and the one most important thing I have learned is that "life is full of challenges… what we chose to do with them, is what matters."

My ultimate dream in life ever since my son was born is to open a business that is run by individuals with unique challenges!

My Affiliations consist of:

  • Events Coordinator, Parents of Children with Down Syndrome
  • Events Coordinator, Offering Alternative Therapy with Smiles, Inc. (O.A.T.S.) Therapeutic Horseback Riding
  • Coach/Volunteer for Lake Orion Special Olympics
  • Creator/President, TEAM SEPTA of Lake Orion (Special Education Parent Teacher Association)
  • Delegate at Large/Parent Representative, The Arc of Oakland County
  • Member, The Arc of Oakland County
  • Member, AMORC (Association for the Macomb-Oakland Regional Center)

Additionally, I was blessed with a second son who has endured food allergies, ODD (Oppositional Defiance Disorder, ADD and anxiety. Today he continues to battle with anxiety but has made me so proud of all his accomplishments.

Miracles happen everyday!

Colleen Miller


Operations Manager

After graduating with a bachelor's degree in Graphic Design, I thought my career path was going to be pretty straight forward. However as I continued with that path, I realized the advancements in technology were not in my wheelhouse as a designer. I love to design anything that goes on paper but websites are not my forte. So back to college for the second time for me with an associate's degree in Health Information Management for a hopefully more stable future. I successfully completed a credentialing exam with American Health Information Management Association and began inpatient medical coding as a remote coder. When the opportunity came for my family to move from Grand Rapids to Petoskey, we jumped at it. Three years later I was given the chance to join the incredible team at Therapy Solutions as their Operation Manager. I am currently working to expand my educational background by obtain credentials in Medical Billing.

In my free time I still enjoy designing books, reading, biking and spending quality time with my two boys and husband. We love Northern Michigan and the Petoskey community and cannot wait to enjoy for years to come.

Ruby Dubey

Ruby Dubey

Therapy Dog

My name is Ruby Dubey and I am a Yellow Labrador Retriever and this is my story:

In September 2015 I was born in Rochester Hills, Michigan. My career was already chosen for me before I was born. I was to become a Leader Dog for the Blind. At 3 months old I began living at my foster home, in Wolverine, Michigan and received intense training for becoming a Leader Dog: hours of learning to sit, stay, off, come, around, heel, not eat food off the floor, not to bark, walking up curbs and on stairs, plus many other skills. It was really hard work for me, just being a puppy and all. When I was 1 year old I was returned to Rochester Hills to the Leader Dogs for the Blind training facility. I made it past basic training and began my community work. After 8 weeks at the school and some goofing off, Leader Dogs for the Blind decided that I was not focusing enough all the time. So I became “career changed” and was offered back to my foster family who welcomed me back home.

Now I have a new career; one I never knew existed! I am a Therapy Dog! What that really means, I am not sure. All I know is that I get lots of hugs, pets, treats, loving, walks, and I get played with most of my days. It’s really a great job and easy to do. I still lose focus at times, but someone always helps me to get back on track. They call it "squirrel!"

So, even though I am not what I thought I would be, a Leader Dog, I have found a new purpose and like what I have become. I hope to get a chance to meet you.