The first time I went I was not very happy. But I think it had to do with my self-esteem and situation more then her. Then the second time it was better and so on. My results for acne was getting better each time. She was very helpful and seemed to actual care. Also she like to hear if you had any questions or what you thought might help or not help. Over-all I would give her a 4.5 out of 5 stars.