Welcome!
Natural Transitions Consulting, LLC provides expert education employing assistive technology techniques and teaching with purpose and passion for direct care, rehabilitation providers, durable medical equipment providers, NGO workers, and educational staff in various curriculum for people with disabilities to improve their quality of life.
Mary L DuCharme OTR BSE

Get In Touch
Natural Transitions Consulting can get you started in the right direction whether the need be for support, education, or further resources. I am also available for further direction, service provider classes and OT pediatric therapy virtually for the states of Washington and Montana and assistive technology nationwide
Performance Areas
To access “Learn More” you need to sign up for a one year subscription which includes:
- Free Monthly Consultation,
- Access To Website
- 10 Percent Off Class Prices
Click the “Sign Up” button below for more details to signup and get started!
Inclusive Education
- Pediatric Therapy
- School Evals
- Transition Resources
- UDL Resources
- Community
Activities of Daily Living
- Feeding
- Toileting
- Dressing
- Sleeping
- Communication
- Hygiene
- Remote Support
- Community
Movement
- Exercise
- Wheelchair Skills
- Sensory
- Range of Motion
- Posture
- Equip/Transfer
- Transportation
- Community
ATP Fundamentals
- ATP Fundamentals
- Task Demands
- Home Health Medical Documentation
- AT Makerspace
- Community
About Me
Get ready to dive right in!
Here at Natural Transitions Consulting, LLC I have taught ATP Fundamentals at Christus St Vincent Hospital in Santa Fe, NM and virtually to an AT LEADS Advisor at Bronx CUNY. I have worked with RESNA critiquing research papers, on the Cognitive Accessibility Standards Board and on a task force for the ATP Fundamentals Certificate.
I have also presented at Arizona Telemedicine Program, ATIA, MOTA (Michigan), Mountain West Virtual OT Conference, EPA Region 5. Standing member of RESNA involved in cognitive accessibility standards committee, k12, international and emerging technology special interest groups and the occupational therapy professional group.
I have worked on the forefront of occupational therapy and assistive technology including schools 0-26, home health 0-99, traumatic brain injury, developmentally delayed residential, group homes, autism spectrum, traumatic brain injury.
Natural Transitions Consulting, LLC currently teaches service providers occupational therapy and assistive technology techniques. I have given presentations at the community college here in Montana and have lived here for seven years. I am involved in STEAM, recreational therapy, telehealth and rural health..
I have also worked in Montana, Washington, San Diego, Michigan, and Ohio. Attended with degrees complete at University of Michigan, Ann Arbor and Western Michigan University cum laude, Kalamazoo. I can give AT consultations nationwide and am licensed in Montana and Washington as an OTR.
If you enjoyed your consultation, please consider signing up for a subscription to a library of resources in all performance areas. Don’t re-invent the wheel. Resources are available!

Frequently Asked Questions
Depending on your issue, I can reach out to my support network and fit you into that network that best serves your needs. I have many resources on all facets of disability life.
You need to tell me specifically your need in the home, in the community, your insurance and what you are willing to pay out of pocket, then I can research funding options and give you consulting advice.
There are many inclusive education resources. You will need to tell me if you have dependence on WIFI such as a Chromebook or if you would rather not depend on WIFI. You need to tell me what you have as resources then I can research funding options and what some of the best options might be. Ultimately, it is up to the user what options are preferred.
Hear What Some Of Our Clients Have To Say!
Latest Blogs
Please see the categories I have given. Most courses are one hour but some can be up to 10 hours such as the ATP Fundamentals Course to prepare you to take the ATP exam. To keep the costs down for the courses, I recommend groups because I have just a standard conference fee for groups up to 10 where you can split the costs.
AOTA and RESNA in process of obtaining.
I have an OT license in Washington and Montana with insurance credentialing. I can consult in those two states for occupational therapy virtually. I also have an ATP certification and consult on assistive technology nationwide.
I have an OT license in Washington and Montana with insurance credentialing. I can consult in those two states for occupational therapy virtually. I also have had an ATP certification and consult on assistive technology nationwide.