Irene was born and educated in South Africa with knowledge and practice in running her own physical therapy practice. She came to the USA and continued her education and experience in directing and teaching at USF as well as Continuing Education inter- nationally for the advancement of physical therapy practice and business management. Her experience and passion has always been in spine care and administration and she advanced into a VP position in a spine surgery practice and developed the diagnostic, clinic and ASC administration process. She joined Comprehensive Spine Institute as the Administrator and is instrumental in the development, staffing, growth and ASC and practice management.