She has worked as an EMT, urban paramedic, maternity nurse, and certified nurse-midwife. Her midwifery experience includes training with a busy home-birth practice in the heart of Amish country. She has also authored The Midwife's Journal, Birth Log and Memory Book (Birth Guru Publications, 2009), Essentials of Prehospital Maternity Care (Prentice Hall, 2005), and Hoofprints in the Sand: Wild Horses of the Atlantic Coast (Eclipse Press, 2003). She is an artist and photographer, and has illustrated all of her books.