Sandra has been practicing Clinical Social Work since 1983 in various settings. As Coordinator of Counseling Services LSU School of Veterinary Medicine 1990-1994, she developed an internship in Social Work, a pet loss counseling program, an animal-assisted therapy program, and a counseling service for veterinary students. She has published numerous articles, chapters, and two books about pet loss, working with veterinary clients, and stress management for the veterinary practice team. She left LSU to teach Social Work at Idaho State University in 1994, and she has continued as an Associate Professor of Social Work currently at Texas Woman's University. She created and supervises a VSW program and internship in Texas.