She has her masters’ degree in psychiatric nursing from the University of Cincinnati. She has been ANA certified as an advanced practice psychiatric nurse/ clinical specialist since 1985.. She has worked for Kaiser Permanente for the last 21 years as an outpatient therapist. She has previous experience as an inpatient head nurse and a manager for multiple psychiatric units. She was a depression specialist in the original IMPACT depression care research. The last 11 years she has been providing IMPACT depression care within her role at Kaiser. She currently does consulting with the IMPACT Implementation Center. She is a frequent speaker presenting on the IMPACT model, problem solving treatment and cognitive therapy. She provides PST-PC supervision to depression care managers.