Pauline was born in Holland and came to the UK at the age of 17 after she had completed her high school (baccalaureate) in Amstelveen. From 1970 to 1973 she worked in Germany and England. In 1974 she started her studies at the International College of Oriental Medicine in East Grinstead. She graduated in 1977, and has since been in full-time practice, as well as lecturing at ICOM Colleges in England and Holland. In 1978, Pauline was appointed as registrar of the College in Holland and was directly involved in coordinating the teaching material and lecturing. In the same year she was invited to become a member of the Board of Governors of ICOM (UK), and in this position has advised both the Board and the College in all matters appertaining to acupuncture since that time. Over the years she held many responsible positions prior to her appointment as Principal of ICOM in 1990.