Sierra is a Clinical Supervisor in the Clinic for Adults with Acquired Language and Motor Speech Disorders (CAALMS). She supervises graduate students with individual clients, as well as a Reminiscence Therapy (RT) group held in a care facility, and other communication groups within the community. Sierra exclusively worked in skilled nursing facilities and hospitals prior to opening her private practice. She currently runs Eugene Speech Therapy LLC, providing adult speech therapy services to Lane County residents, as well as an online aphasia group. She is VitalStim certified and a member of the American Speech-Language-Hearing Association special interest groups, Neurogenic Disorders and Swallowing Disorders. In her work, Sierra hopes to affect a positive change in our community by offering new clinicians a relevant and current perspective into the ever-changing field of speech-language pathology.