Deborah has been a member of WPATH since 2017 USPATH since its inception. She has extensive knowledge discussing options for hormones or hormone blockers, types or surgery that is available, and what you can expect from these procedures. As she is not a doctor she cannot prescribe or provide these services, however, she does have resources to provide. She also provides letters of support for these services at no charge after 2 sessions. Currently, She is part of a group that receives mentoring that will lead to certification.