After 10 years of practicing in Beverly Hills, Gouley moved to San Juan Islands, WA, in 2012 and joined Rosario Skin Clinic. She divides her time between the clinic's Anacortes and Friday Harbor locations. Gouley is the founder of Project Happy Face, a nonprofit corporation dedicated to treating disadvantaged teenagers with acne. In 2010, Amy received a Woman of the Year award from the National Association of Professional Women for her commitment and dedication to the field of dermatology. Recently, she provided dermatology services and expertise in Haiti while serving on medical mission.