She has published and presented widely on topics associated with socio-cultural approaches to cognition and communication across the life-span and on identity issues for those with a variety of communication differences. She has also served on the editorial board of two international journals and as a reviewer for two journals in the field of communication disorders. Her extensive clinical work includes adult and pediatric rehabilitation at Fresno Community Hospital in Fresno, California, and home-based service delivery through the California-Hawaii Elks Major Project and the Massachusetts Society for the Prevention of Cruelty to Children.