Dr. Karen was a member of the first class in 1984 to receive her optemtry degree from UMSL college of optometry. She practiced in St. Louis for 35 years. She is a member of the AOA and the Arizona Optometric Associate. She is a fellow in the American Academy of Optometry, served as an Examiner for the National Board of Examiners in optometry and also served on the Missouri State Boards of Optometry for 11 years. Dr. Karen served as president of the St. Louis Optometry Society and was named by this organization as Optometrist of the Year in 2006. Throughout her career caring for the under served has been a priority. She has participated in 20 international missions to developing countries to examine and provide eyeglasses to people in need.