1st, you have to be relicensed in the state. This means 6 months to a year of 'internships', I.E. unpaid work, depending on the state. Then you're back to where she is now, but getting certified at that point varies from state to state.
The other thing holding us here is I have two very old grandparents with not much longer in this world - and we're not willing to leave until they have, unless there's a "sure thing" waiting at the other end.