Alta Vista Integrated Life Services

Ashley Ruiz, MSW, LSWAIC

Executive Director, Board Member

Gig Harbor, Port Orchard, Telehealth

I am a licensed social worker in Washington State, with a Master of Social Work and a BA in Human Services . I hold a professional certification in the Strengthening Families Program, and I am a Certified Behavior Technician with Washington State. I have more than 18 years working with diverse family systems, ​promoting optimal outcomes for individuals and youth. My experiences in body health, conditioning, and naturo-pathic approaches have shaped my belief that an integrated mind-body-soul approach is essential in therapy. I offer services to empower people to identify goals and to access inner strengths needed to meet both individual and family goals.

My scope of therapeutic practice includes play therapy, behavioral therapy, family therapy, solution focused therapy, mindfulness, sensory integrative therapy, applied behavioral analysis, functional behavioral assessments, Christian counseling, and cognitive behavioral therapy. My focus is working with children, adolescents, and adults and family systems on many issues relating to the mental health, parenting, behavior and social problems, depression, anxiety, stress, anger management, as well as recovery from trauma. I also specialize in offering assessments, supports, and training for adults, youth, and families with neuro-developmental disabilities.

Carmen Martin, LMHC, CMHS

Clinical Director, Board Member

Gig Harbor, Telehealth

I am a Licensed Mental Health Counselor with a Child Mental Health Specialist certification and the ability to perform clinical supervision for candidates seeking licensure. I have an extensive, broad range of experience working in the mental health and education fields. I hold a Master’s degree in Applied Psychology, and a Bachelor’s degree in Education with a Major in History and a Minor in English. I am a highly proficient therapist with a strong history of providing efficacious therapeutic services, consultation, care coordination and case management for clients from infancy to geriatric, with mild disturbance in functioning to chronic severe persistent mental illness. I have over 25 years of experience working with children, adults, families and both private and community organizations, in both support and supervisory roles. I am proficient with clinical assessment, evidence based therapies and can provide professional training in multiple specialty areas.

Ashley Marsh, BA

Early Childhood & Community Education Director, Board Member

Port Orchard, Telehealth

As Alta Vista’s Early Childhood & Community Education Director, I will be overseeing the development and implementation of early learning and community education programs, including preschool, continuing education courses, and caregiver coaching.

I have three kids, one of whom is medically fragile. I am currently working on a dual degree of a Masters in Early Childhood Education, Special Education with a certificate in Applied Behavioral Analysis. My next professional goal is to obtain my BCBA license. I was previously the owner of Tiny Notes Music and Movement LLC in Port Orchard. I have always had a passion for special education and look forward to helping the community in any way I can. 

Amanda Winslow, MS, BA

Educational Director, Behavioral Interventionist, Board Member

Gig Harbor, Port Orchard, Telehealth, Home-Based

I received my Masters of Science in Curriculum and Instruction from Western Governors University, and my Bachelors of Arts in Special Education with an Endorsement in Elementary and Special Education. I am TEACCH certified, as well as a Professional Assault Crisis Trainer in De-escalation and Restraint. I have over 12 years of experience working with individuals with Autism Spectrum Disorder, Oppositional Defiance Disorder, and other disabilities. I have worked with all ages in various settings from homes, schools, pre-schools, living facilities, youth groups and more. I offer services in behavioral and mental health to support individuals and families at reaching their full potential. My scope of educational and therapeutic practice includes play therapy, behavioral therapy, solution focused therapy, sensory integrative therapy, applied behavioral analysis, and functional behavioral assessments, as well as individualized educational support to maximize learning outcomes. My focus is working with children, adolescents, and adults and family systems on many issues relating to behavior, social skills, anxiety, and emotional regulation.

Sara P. Martin, CDP, LMHCA

Program Director, Youth Co-Occurring Treatment

Gig Harbor, Port Orchard, Telehealth 

I graduated from Western Washington University with a Bachelor of Arts in Human Services and earned a Master of Arts from Brandman University in Marriage and Family Therapy. I have held a Chemical Dependency Professional certification for over 14 years and have worked with youth, families and adults in a professional capacity for over 20 years.

I practice primarily from a Solution-Focused Therapy model, incorporating Choice Theory, the Stages of Change, Bibliotherapy techniques, Narrative Therapy techniques and family system work. I value the benefit of system coordination and group involvement to supplement the therapeutic process in order to assist in the client's growth and achievement of treatment goals. I believe in the recovery process and that every person has the capacity for change, and I am committed to helping people reach their goals. I work with individual clients of all ages, couples, coparenting/custodial issues, and families for both chemical dependency and/or mental health concerns.


Jason Davis, ARNP

Psychiatric Practitioner

Gig Harbor, Telehealth

Multiple years of experience serving patients in both inpatient and outpatient services. Proficient with children, adolescents and adults with both neurological and mental disorders, including trauma, depression, anxiety, ADHD and psychosis.

Kimberly Burke, LICSW, CMHS


Poulsbo, Telehealth

I earned my MSW from USC. My first career was as a teacher and I’ve taught almost every level from kindergarten through college. I ran my own day care/ preschool/kindergarten for 10 years after teaching in public schools. In my mental health career I have worked with children, adolescents and adults, and I enjoy a combination of clients in my caseload. I love working with gender questioning and transgender individuals, and individuals with trauma, depression and anxiety. I use CPT, EMDR, DBT, CBT, ACT, self-compassion, IFS, and reflective listening, play, art therapy, sand tray with children.

Bruce Jackson, LMHC, CMHS


Poulsbo, Gig Harbor, Telehealth 

I received my MA from Antioch University in Seattle in 2005 and spent the next 13 years working in community mental health for the Child and Family division at Kitsap Mental Health Services. The first year, including my internship, was at the Youth Inpatient Unit, then almost a decade on the outreach team working with kids and families in their homes, at school, Juvenile Detention, in the community, etc. and worked with several challenging situations. I then moved into a Lead position and ran a middle school behavior program that I enjoyed a lot. For the last two years I've worked in a private practice setting primarily with adults including a significant amount of veterans. Prior to being a therapist I was a janitor, an infantryman in the Army, did phone and VM system installations, and worked as a corporate buyer and purchasing agent in a warehouse for a large plumbing wholesaler. I was divorced when my two kids were young and spent 15 years as a single dad.

As a therapist I primarily use CBT and psycho-education, although I draw from many different therapeutic perspectives. I really enjoy teaching behavior techniques to caregivers, and I favor giving short and simple homework assignments while focusing primarily on the relationship with the client.  

Mark Russell, Ph.D., ABPP

Licensed Clinical Psychologist

Gig Harbor

I am a licensed Clinical Psychologist in the State of Washington who is dual board certified by the American Board of Professional Psychology (ABPP) in clinical psychology and clinical child and adolescent psychology. I obtained my Bachelor of Arts degree in Psychology and a Masters of Arts degree in Marriage, Family and Child Counseling from Chapman College, Orange, California, in 1984 and 1988 respectively, followed by a 1993 Doctoral degree in Clinical Psychology Pacific Graduate School of Psychology located in Palo Alto, California. In 1995, I completed a one-year post-doctoral fellowship in Child Clinical Psychology at Harvard Medical School and Children's Hospital Boston, Massachusetts.

I am also a recently retired Navy clinical Psychologist with over 26 years of military service with extensive experience in the psychological assessment of children, adolescents, and adults for a wide array of problems including both war and non-combat related trauma and other stressor related disorders (PTSD), Autistic Spectrum Disorders, Neurodevelopmental Disorders (intellectual disability, learning disorders), Depression and Bipolar Disorders, Anxiety Disorders, Obsessive Compulsive Disorder, Somatic Disorders, parenting issues and work related issues.

My theoretical orientation is eclectic, drawing upon Cognitive Behavioral, Developmental and Systems oriented models. I also have experience with utilizing, researching, and training in eye movement desensitization and reprocessing (EMDR) therapy.

Peggy Goodman, MSW

Gig Harbor, Telehealth, Home-Based 

I started with Alta Vista as an intern, and now that I just finished my graduate program from USC, I am looking forward to becoming a full-time employee. I work closely with clients affiliated with DDA, implementing programs based on ABA principles that increase communication, self-help, social, and play skills. I am a veteran and a single mom with two sweet eight-year-old twin boys who keep me very busy, one of whom has learning and behavioral challenges. I earned my BA in social work from UWT, graduating in 2019, and immediately entered my Master’s. program.

I primarily work with youth and I have a passion for their success in our difficult world. I also work with parents, families, and adult individuals. I have worked with high school students as an intern during my Bachelor’s program, and I have been a Sunday school teacher for K-5. I am looking forward to growing with Alta Vista and to serving the needs of our community. 

Tara Celletti, BA

MSW Intern (Graduation May, 2021)

Gig Harbor, Telehealth, Home-Based

I am currently completing a Masters in Social Work from the University of Southern California with a focus on children, youth and families. I hold a BA in Sociocultural Anthropology and I have done post-baccalaureate studies in education, early childhood and child development prior to my MSW program. I have over ten years of professional experience working with children. Prior to beginning my MSW program, I was running a before/after school program for youth, which helped me realize that I am passionate about aiding the social and emotional development of children. As far as treatment orientation and methods, I am drawn to expressive therapies, such as art and movement, and to using creativity to explore, process, and cope with thoughts and feelings. I am also drawn to CBT because I know the process in which we frame and think about experiences significantly affects our bodies and our behaviors.

Natalie Ramirez, BA

MSW Intern (Graduation August, 2021)

Gig Harbor, Port Orchard, Telehealth 

I am working towards my Masters in Social Work with the University of Southern California with a focus in Social Change and Innovation. I hold a Bachelor of Arts in Psychology from California State University, Channel Islands. I completed my B.A. in May of 2019 and took a year off school to integrate myself within the community and gain experience working with youth and families through the completion of an internship with The Girl Scouts of America and entering the profession of child care. I am working towards a certificate as a Registered Behavior Technician. I am bilingual and fluent in Spanish and hope to bring this as a resource to Alta Vista. I gravitate towards MI, PST, and CBT therapy but I am excited to expand my use of alternative therapies as I grow my experience with Alta Vista.

Melissa Punzalan, BA

​​MSW Intern (Graduation August 2021)

Gig Harbor, Telehealth

I am currently completing a Masters in Social Work from the University of Southern California with a focus on children, youth, and families. I hold a BA in English with a minor in Sociology.

For the past 7 years I served as a Public Health technician for the United States Air Force until honorably discharged. I have a passion to work the military population whether working with children and their social and emotional development but also with military veterans and their mental health. I also understand the importance of working with individuals as a family system in order to provide the best care for the individual and entire family unit.

Prior to the Air Force, I worked in the Department of Defense education system abroad as a paraprofessional assisting children with physical, mental, medical, and psychological disabilities.

My other interests include working with children in early intervention in order to help them be successful. I have a strong desire to work with women and children who suffer from maternal health issues such as postpartum depression, anxiety, birth trauma or other perinatal mood disorders. With regard to therapeutic practices, I am drawn to Cognitive Behavioral Therapy, play therapy, Art Therapies, Behavioral Health, Parenting, and Mental Health counseling

Melissa Carpenter

Program Manager, Bookkeeper, Board Member

Port Orchard

I am currently finishing my Bachelor's degree in Early Childhood Education and Early Childhood Special Education. I completed up my Applied Behavior Analysis training to earn my Certified Behavior Technician. I was formerly the lead teacher for the 4-5 year olds at Tiny Notes. I also was an office manager for the Tiny Notes Program. I am moving into the Manager role of Alta Vista’s preschool and respite programs. I will also be starting the role as bookkeeper in September 2020.

Stephanie Menorca

Therapy Aide

Gig Harbor, Port Orchard, Community-Based

I am in my third year at Brandman University working towards my BA in Psychology. Someday I would like to work as a therapist or in school psychology. My interest in psychology stems from a family background of dementia and developmental disabilities. I believe that mental health is just as important as physical health and that we should assist people in underserved communities. Outside of school, I also work as a writing tutor and a human resource specialist in the Washington Army National Guard.

Heidi Sturgeon, MSC


Gig Harbor, Telehealth, Home-Based

I have a BS in Bible and a BS in Counseling from Clarks Summit University (formerly Baptist Bible College), I have also recently completed the requirements for my MS in Counseling from Clarks Summit University. I have worked as a case manager for individuals who experience Intellectual/Developmental Disabilities (I/DD) for 14 years, working with both children and adults. I was introduced to the world of I/DD when I provided direct care at a large community-based residential facility for adults and found a niche that I greatly enjoy. Additionally, I have been a volunteer youth leader for the last 20+ years. In this capacity have worked with both middle school and high school students, leading small groups, mentoring, and helping to plan and execute camps and retreats.

I strongly believe in a holistic approach to therapy and plan to pursue continuing education and certifications toward my goal of helping my clients find their path to mental, psychological, and emotional health.

Maxie Pape, BSW

MSW Intern (Graduation December, 2020)

Gig Harbor, Port Orchard, Telehealth

I will be graduating in December with my MSW through Western New Mexico. My first practicum was with Kitsap Mental Health Services at the crisis triage Facility, and my final practicum starts with Alta Vista ILS in August, 2020.

I recently completed a position with Kitsap Mental Health Wrap-Around Intensive Services (WISe Team) as a care coordinator. In this position I worked with youth and extremely complex mental health needs with high rates of suicidal ideation. I have learned though this position that working with kids is in my heart. I served clients from age three to teens with a variety of diagnoses. I worked with many clients diagnosed with Autism Spectrum Disorder, I and love seeing the progress that they made. I enjoyed experiencing how different kids see things, and I loved working alongside a therapist leading Parent-Child Interactive Therapy. I have experience with Dialectical Behavioral Therapy, and I feel proficient in helping people ground and regulate themselves.