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Kara Welke, OTD, OTR/L, CLT, CAPS, SHSS has had a wide variety of experiences and has worked with pediatrics through geriatrics in various settings. She even ventured away from traditional occupational therapy for a few years and had the privilege of starting an Early Head Start program from the ground up and was the director of the EHS program. Kara taught in an OTA program as well as served as the academic fieldwork coordinator for approximately 8 years. In order to provide client centered, occupation based, and evidence-based practice, Kara started her own Mobile Hybrid Practice to help older adults age in place in 2018. This business has grown significantly over the years, and she now has over 15 employees and contractors providing a wide array of services. Her business not only has their own client population, they also provide services to other agencies and businesses. Due to the lack of resources for helping therapy professionals start their own business, Kara created the Next Level Occupational Therapy Facebook group. It was through this group that it became apparent that all therapy professionals needed assistance in starting their own business and that is when the Therapy Business Builder program was started. Kara has helped hundreds of therapists get to the next level in their career through her programs.