Sandstone Psychological Practice

Meet Our Associates

Meet Our Associates

dark-line.jpgJuliana Fioretti, MACP, CPC-I

I am a Clinical Professional Counselor Intern and have a private practice housed at Sandstone- Juliana Fioretti Psychotherapy & Counseling. I am passionate about psychotherapy and counseling. I believe one should not feel alone when struggling to cope with daily problems and/or mental illness. My goal is to assist clients through evidence-based practice and help them feel they are not alone.

I am originally from Brazil and lived in Toronto, Canada for several years prior to moving to Henderson, Nevada. Growing up in Brazil and living in Toronto, one of the most multicultural cities in the world, has provided me with incredible multicultural experience which I gladly bring into therapy.

Therapeutic Approach

My therapeutic approach is integrative including a psychodynamic and client-centered approach. I use a multicultural framework for learning about clients’ values, cultural background, and the circumstances that influence their lives. I see clients as experts on their own lives and utilize a collaborative approach where together we set treatment goals for making wanted changes. I work to create a warm and safe therapeutic environment as I believe the therapeutic relationship between therapist and client is of utmost importance. Lastly, I tailor therapy to meet the needs of each unique client.

I am bilingual (English/ Portuguese).


I offer individual and group therapy in a safe and warm environment, providing evidence-based interventions for addressing a variety of concerns. Some of my particular expertise and interest areas include:

  • Anxiety
  • Depression
  • Life Transitions
  • Relationship Problems
  • Grief and Loss
  • Trauma Experiences, in particular Childhood Interpersonal Trauma

Phone: 702.907.0988



Address: 1070 West Horizon Ridge Parkway, Suite 210, Henderson, NV 89012


Vicky Genia, Psy.D., Sandstone Supervisor/ Consultant


Areas of Expertise

I spent my professional career working in college mental health and have extensive experience treating the wide range of problems and concerns that are typical of a university population.  I have particular expertise in psychodynamic psychology, which I have studied extensively both formally and informally.  Additionally, I have done research and published a book, as well as a number of articles, in the Psychological Study of Religion.

Education and Experience

I earned my Doctorate in Counseling Psychology (Psy.D.) from the University of Northern Colorado.  My doctoral training was built on a foundation of Humanistic Psychology, which continues to be a cornerstone for my approach to psychotherapy.  I believe that the relationship between the client and a compassionate, empathically attuned therapist is central to the client’s emotional healing and psychological growth.

After completing my doctoral training, I provided psychological services for over a decade to students at the American University Counseling Center in Washington, D.C.  During that time, my theoretical orientation evolved into a relational psychodynamic approach that integrates the core principles of humanistic psychology with those of object relations and intersubjective psychoanalysis.  I had the privilege of working in a thriving psychodynamic community within which I had the opportunity to immerse myself in psychoanalytic psychology and provide long-term, intensive psychotherapy at the university counseling center and in private practice.

After moving from Washington, D.C. to Las Vegas, I was hired at the University of Nevada, Las Vegas Center for Student Counseling and Psychological Services (CAPS) where I worked for 12 years before retiring.  Since CAPS provides time-limited psychotherapy, I learned to adjust my approach to fit the center’s model of brief therapy and crisis intervention.  Although I still approach my work from a psychodynamic perspective, I also integrate ideas and interventions from Positive Psychology, Mindfulness, Supportive Psychotherapy, and Cognitive-Behavioral Psychology.  However, I consider these approaches along with psychopharmacological interventions to be adjuncts to psychotherapy rather than primary methods of treatment.

Therapeutic Approach

Although I appreciate the benefits and contributions of other approaches, my personal experience and over 30 years of clinical experience has convinced me that a time-unlimited, psychodynamic approach to therapy is most likely to result in the healing of deep emotional wounds and subsequent elimination or significant reduction in symptoms and maladaptive behavior.  I view the therapist as the containing companion in the search through memory and am comfortable working with a wide range of mental health issues.

Personal Interests

I grew up on Long Island, New York.  I also lived in Colorado and Washington, D.C. before moving to Henderson in 2002.  I love to travel, have visited all 50 states, and enjoy spending time in Europe during the summers.  My son and daughter-in-law also live in Henderson and my first grandchild is the joy of my life.  I spend as much time as possible with my grandson.  I am also an avid reader, love to watch football, and am a die-hard fan of the Philadelphia Eagles.


Jennifer K. Pietrzak, LCSW

Education and Experience

Originally from the Buffalo NY area, I have lived and worked in the Las Vegas Valley for 20 years. I attended college at Hobart and William Smith Colleges in the Finger Lakes of NY with the intention of becoming a literature teacher. Various work and life experiences drew me toward a career helping people and their families heal and grow, and I returned for my Master’s Degree in Social Work from the University of Buffalo. Since graduating in 1998, I have held clinical licensure in NY, OH, and NV. Along the way, I have learned as much – if not more – from my clients as they tell me they have learned from me. I consider myself a student of life alongside my clients and am approaching the 6th decade of my life with joy and optimism.

Therapeutic Approach

I primarily work with adolescents, adults, and seniors who are seeking help with anxiety, depression, or difficulty in relationships. My treatment approach can best be described as eclectic. My earliest training began with family systems theory. Then I hit a long and strong stride in cognitive-behavioral strategies and eventually integrated trauma-informed techniques that observe and respond to the body’s experience with feelings and stressors. You can read more about my practice at I am sometimes too full to take on new clients, but you can check my availability by calling my office at 702.219.7597 or emailing


Anne Heppenstall, LCSW

Education and Experience

I am a Licensed Clinical Social Worker who grew up in Southern California, and have lived in the Las Vegas valley for 18 years. I received my Bachelor’s Degree from University of Redlands in Redlands, CA before serving as a Peace Corps volunteer in the Dominican Republic. After my Peace Corps experience, I was inspired to continue my work helping others, and received a Masters of Social Work from UCLA. I completed my clinical training at Children’s Hospital Los Angeles and City of Hope National Medical Center before relocating to the Las Vegas area after licensure in 2004. I worked as a clinical social worker in maternal child, labor and delivery, and NICU (neonatal intensive care) units prior to opening my private practice.

Therapeutic Approach

I have a general psychotherapy practice treating adolescents and adults with a wide range of psychological concerns and issues. I also have special training in the treatment of postpartum depression/anxiety, miscarriage, grief and loss, infertility, and NICU babies. I draw from cognitive-behavioral, attachment, and trauma-based perspectives.