Dr. Kugler was head of the behavioral health and physical health integration team for a community based out-patient clinic and team lead for the Center for Treatment of Addictive Disorders at the Pittsburgh Veteran's Administration. Dr. Kugler has provided services to adults, veterans, inmates, adolescents, and children for over 20 years. Dr. Kugler has presented nationally her research on topics focused on substance abuse concerns. Currently, Dr. Kugler serves as the CEO of division of the state of Maryland where she leads the management of Medicaid benefits for the state of Maryland. Dr. Kugler advises the Palms in working with the VA, understanding VA protocol, and in structuring a program with sufficient PTSD care to service veterans per VA standards.