For twenty five years she has maintained a clinical and consulting practice (Transition to Parenthood) providing psychotherapy and designing workshops and trainings for organizations that provide perinatal services. She has worked with organizations such as University of Washington Maternal and Infant Care Unit, La Leche League, Catholic Family Services, Attachment Parenting International, and PALS Doulas. Since 2010 she has been the Chairwoman of Postpartum Support International for Washington State and has recently assumed the Vice President position for PATTCh (an organization devoted to the Prevention and Treatment of Traumatic Childbirth). She has additionally been an instructor for the Seattle Midwifery School and the Department of Midwifery at Bastyr University for over a decade, developing and teaching a yearlong class in counseling skills for midwives.