She is Board-Certified in Adult Psychiatry and Addiction Psychiatry and is a Diplomate of the American Board of Addiction Medicine (ABAM). She is the Director of the Addiction Psychiatry Fellowship at University Hospitals of Cleveland and also teaches medical students and residents. Since 2000, she has served as the Medical Consultant to the Ohio SAMI CCOE (Substance Abuse and Mental Illness Coordinating Center of Excellence), a statewide training and technical assistance organization dedicated to evidence-based practices. In 2009, following a decade of work in community mental health, she was appointed as the Chief Clinical Officer of the Alcohol, Drug Addiction, and Mental Health Services Board of Cuyahoga County.