She first worked in pain management as an Adult Nurse Practitioner treating co existing substance use disorders. She developed a customized treatment program for rehabilitation of persons with coexisting disorders. She received post graduate education at the University at Buffalo as a Family Nurse Practitioner, and a PhD in Nursing. Her expertise is in managing patients with chronic pain using a holistic approach to minimize risk of substance use disorders. She speaks nationally to clinicians and has served on national expert panels on mitigating risk of addictions when prescribing opioids. She has six recent publications on adherence monitoring to minimize addictions. She has a clinical pain practice in urban Buffalo, NY and is Adjunct Professor at the University at Buffalo, NY.