I have 23 years in practice. My suggestions are to always look to improve your skill, be self-reflective and develop keen observation skills. Look for advanced educational trainings that are most effective, do your research and don’t just take the courses that are inexpensive. Also develop relationships in your community. Look for people who you can refer with. Compete only with yourself. As far as safety, never take outcalls from a source you know nothing about. If someone seems at all inappropriate, pack your supplies and walk out.