Dr. Sierra has extensive experience as well working with divorce issues, step-families, adoption, and foster children. In her work with adults, Dr. Sierra specializes in post partum issues, depression, and anxiety disorders. Dr. Sierra is also devoted to serving a multicultural clientele. She is bilingual in Spanish and has served the Hispanic community in civilian and military settings. Dr. Sierra maintains a private practice in Tacoma, WA and offers workshops locally, nationally and internationally.