Currently, she is in practice with The MacDonald Midwifery Service at University Hospitals of Cleveland, Ohio. She holds clinical appointments on the faculties of the Schools of Medicine and Nursing at Case Western Reserve University. She has presented CNM First Assistant Workshops four times in Ohio, and was a member of the team presenting The Midwife as Surgical Assistant Workshop at the ACNM Annual Meetings in Anchorage in May 2000 and in Washington, DC in June 2001.