Tierra was born in Chicago Illinois and raised in Milwaukee WI. She received her Masters in Occupation Therapy from Mt. Mary College in Milwaukee Wisconsin in 2011. She started her career in geriatrics working in a SNF then pursued working in a mental health hospital before finding her passion for working primarily with the pediatric population. She has provided pediatric services in a variety of settings such as mental health, home health, schools and outpatient clinic-based settings. She practiced in the states of Wisconsin, Illinois, and Colorado before becoming a licensed Occupational Therapist in the state of Georgia. Tierra has experience working with a variety of conditions including ASD, ADHD, Developmental Delay, sensory processing disorder, mental illnesses and oppositional defiant disorder.