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Nalani De Smith has held various roles in the healthcare industry, starting as a Sales Manager at Robert Andrews Laser and Cosmetic Surgery Center in 2012. Nalani then transitioned to become the Practice Manager at Praxis Wellness Center in 2016. In 2018, they advanced to the role of Director of Marketing and Development at Restore Hair Texas, The Urology Place, and The InVita Clinic before becoming the Director of Marketing & Physician Liaison at Stratton Rehabilitation Clinic in 2019.

Nalani De Smith completed their Bachelor of Science in Business/Corporate Communications at the University of Colorado Colorado Springs from 2011 to 2015.