This picture does not convey any sense of 'destination' to me. It is a strong portrait, and I imagine that people who know her will see alot of her character and (apparent) strength. The heart says give it a higher mark. My voting reality says not.
Your title speaks volumes to the photo. I wish her well. Nice, tight cloeup. A bit more focus (I'm one of those that like crisp portrait shots) and I would have scored this even higher.
OK, it took me a second... I'm assuming the wrap is to cover the effects of chemotherapy? I like the statement you're trying to make, but feel the execution is somewhat lacking. The picture itself comes off more as a portrait and doesn't really say much in the way of a "destination". If I hadn't read your title I would be totally clueless. Maybe another version emphasizing the bandana would help or you could totally blow us away and lose the bandana completely to really get your point across. I understand the hesitation to do that (I've had several in my family go through chemotherapy), but the result would be VERY powerful.
Excellent spot on portrait. Man, the detail and clarity is really good. I like the "in your face" sense of it and the crop on the right. Congratulations on your journey. Best wishes too. ;~)