About Us

Stroke is the nation’s fourth leading cause of death and the number one cause of adult disability. Americans experience more than 750,000 strokes each year, resulting in annual direct and indirect costs of more than $50 billion.

The mission of the Delaware Stroke Initiative (DSI) is to improve stroke prevention, risk assessment, and recovery to residents of the state of Delaware with special focus on low income and minority individuals.

The DSI is a 501(c)3 tax exempt organization lead by a board of directors:


Chair – Lee Dresser, MD
Wilmington Neurology Consultants
Vice Chair – Moonyeen Klopfenstein, MS, RN, IBCLC, CCE
Health Care Educator
Christiana Care Health System
Executive Director – Deborah Munson, Esquire


Mary Ciechanowski, RN, MSN, APRN, BC, CCRN

Stroke Advanced Practice Nurse

Christiana Care Health System

Clyde Hartman, CPA/ABV, CFE, CVA