Citter’s global impact comes from a clear model activity as Nature-based health care, Professional career education in lifestyle management in creating a global impact by integrating environmental sustainability with human well-being, addressing both the mental/physical health crisis and the urgent need for a "green" workforce. This holistic approach, often operating under the framework of planetary health, bridges the gap between conservation, public health and education, proving that healthier ecosystems directly lead to healthier people through nature‑based care practices, yoga education, youth skilling, responsible agriculture, and research‑led validation.

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