She provides clinical services as a faculty member of Hasbro Children’s and Rhode Island Hospital. She is an Assistant Dean (Medical) of Admissions for Alpert School of Medicine. She has been doing adolescent medicine, gender and sexual health, and reproductive justice work since 1990’s. She serves over 400 gender diverse persons on the East Coast and provides advanced family planning and reproductive health services across the lifespan. She continues to train nurse practioner and medical students, along with residents and fellows, in patient centered reproductive health and justice.