Susana Deltoro, LPC

Elizabeth Vah, LCSW, graduated from the University of Texas at Austin in 2008 with a master’s degree in clinical social work. She completed her internship at Seton Medical Center, gaining experience in the emergency room and specialty clinics. Elizabeth has worked in both inpatient and outpatient settings and has training in DBT, CBT, mindfulness, solution-focused, and person-centered counseling.

Elizabeth takes a collaborative approach, partnering with patients to clarify goals and create a roadmap for growth. She has supported individuals from diverse backgrounds facing anxiety, depression, grief, life transitions, interpersonal challenges, and severe mental illness. Her approach blends evidence-based therapies with individualized care, emphasizing a trusting, supportive relationship and a safe, nonjudgmental environment.

In the first session, Elizabeth creates a welcoming space to discuss challenges, goals, and personal history, reviewing confidentiality and treatment structure. Together, she and the patient develop a personalized plan. Ongoing sessions focus on exploring thoughts and feelings, identifying patterns, and practicing skills to support meaningful change, with regular goal review and reflection on progress.

Henna, LMHC, has experience providing trauma-informed, culturally responsive care to adults and couples in both outpatient and inpatient settings. She earned a Master of Education and a Master of Science in Clinical Mental Health Counseling and Psychology, with advanced training in trauma-focused therapies, including EMDR, as well as grief and relational conflict.

Henna offers a safe, supportive environment where individuals can process deeply personal experiences without fear of judgment. Her warm, compassionate approach ensures each story feels valued and respected, fostering trust and connection from the very first session.

Henna begins by gaining a thorough understanding of a patient’s history, current concerns, and goals for therapy. She collaborates with patients to create a personalized treatment plan, integrating evidence-based modalities such as EMDR, CBT, IFS, psychoeducation, and mindfulness-based interventions to promote healing and growth.

Arlette Dominguez is a Licensed Mental Health Counselor with Diagnostic Privilege (LMHC-D) in New York State. She earned a Master of Science in Mental Health Counseling and a Bachelor of Science in Psychology from Mercy College. Arlette is a bilingual clinician fluent in English and Spanish and currently serves as a Bilingual Clinical Program Coordinator, providing clinical supervision, consultation, and direct care. She has extensive experience delivering individual, group, and family therapy in school-based, community, and outpatient settings, with a background in crisis intervention, assessment, treatment planning, solution-focused counseling, trauma-informed care, and telehealth services.

Arlette is passionate about promoting mental health awareness and reducing stigma. She creates a warm, supportive, and nonjudgmental environment where clients feel heard, respected, and understood. She values open communication and collaboration, believes deeply in each person’s resilience, and uses a strengths-based, solution-focused, culturally responsive, and trauma-informed approach to help clients build confidence, insight, and effective coping skills.

Arlette begins with a comprehensive intake to understand each client’s background, concerns, strengths, and goals. She works collaboratively to develop personalized, goal-oriented treatment plans and uses tailored, strengths-based interventions. She supports concerns such as anxiety, depression, self-esteem, relationship challenges, stress, and life transitions, regularly reviewing progress and adjusting treatment to support continued growth.

Mariechia Palmer, PhD, LMFT, LPC, LADC, is a dedicated clinician committed to empowering individuals and families through compassionate, insight-driven care. She is also licensed in Texas as a Marriage and Family Therapist, allowing her to support a broad and diverse community. Her work reflects a lifelong calling to help heal broken homes, relationships, and hearts.

Dr. Palmer believes meaningful change comes from understanding how past pain shapes present patterns. She creates a supportive space where patients feel safe to explore their experiences, uncover the origins of their struggles, and develop a deeper awareness of themselves. Her approach is warm, collaborative, and grounded in genuine partnership.

Her process centers on helping patients retrace the wounds of their past so they can heal their present. Dr. Palmer guides individuals and couples through structured self-exploration, reframing old narratives, and identifying the tools needed for long-term growth. Her goal is to build resilience, clarity, and lasting emotional well-being.

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Jill Sinnott is a Licensed Clinical Social Worker. She has practiced in Tennessee for over ten years, in a variety of roles including comprehensive child and family therapy, mobile crisis, and group-based Alcohol and Drug treatment. Most recently, she worked in community mental health for five and a half years. In this role, she focused on individual therapy with clients of all ages. Jill obtained her Bachelor's Degree from Warren Wilson College in Swannanoa, NC, and her Master's of Science in Social Work from the University of Tennessee in Knoxville, TN before settling in Johnson City, TN with her family. Jill's areas of interest include working with the LGBTQIA+ community and incorporating play therapy techniques while working with children. She uses a combination of Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to develop a treatment plan addressing the client's own goals using specific, obtainable steps and recognizing each individual's strengths.

Mary Ewers is a Licensed Clinical Social Worker with over 12 years of experience supporting adults navigating stress, anxiety, depression, trauma, and chronic illness. She has worked with individuals from many backgrounds, including Veterans and caregivers. Her approach is grounded in empathy, respect, and genuine connection, and she tailors her work to each person’s unique needs and goals.

Mary believes therapy should feel safe, collaborative, and empowering. She welcomes patients exactly as they are and creates space where they can feel heard, understood, and supported. Clients often describe her as warm, honest, compassionate, and easy to talk to. She brings creativity and a down-to-earth presence to each session, helping patients feel comfortable as they work through life’s challenges.

Mary begins by learning what matters most to each patient and exploring what may be getting in the way of their well-being. She incorporates Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, and mindfulness practices to build practical tools for change. Her goal is to help patients reconnect with balance, purpose, and joy while guiding them toward meaningful, lasting growth.