Phone: (202) 495-1090 | Email: cecilia@altavistatherapy.com
Phone: (202) 495-1090
Email: cecilia@altavistatherapy.com
With over 25 years of clinical experience working with immigrants, we understand the importance of comprehensive psychological documentation in immigration cases.
Our carefully detailed assessments address the psychological factors relevant to your case, providing courts with thorough clinical information to support informed decision-making.
Whether you've experienced trauma and are seeking asylum in the U.S., or if you're an attorney specializing in immigration cases, you need detailed, professional evaluations from experienced clinicians you can trust, delivered efficiently so you can proceed with your case with confidence.
Hi, I’m Cecilia Racine, MSW.
Licensed Clinical Social Worker
- District of Columbia (LICSW LC50079749)
- Maryland (LCSW-C 14607)
- Virginia (LCSW 0904007068)
- Florida (LCSW telehealth provider TPSW1208)
- Idaho License # 4861278 Mental or Behavioral Telehealth
I have 25 years of clinical experience, and I have always worked with immigrants, so I'm familiar with their strengths and struggles. As a bilingual (English/Spanish) immigrant myself, I know what it feels like to be in a new country where you don't speak the language, and things are unfamiliar. I know what it's like to have your heart in two places at once.
Alta Vista Therapy was founded in 2016, and since then, I've completed over 700 immigration evaluations for clients from all over the world and worked with dozens of attorneys. We strive to provide services in a compassionate and empathetic environment, ensuring you the highest level of confidentiality at all times.
Meet our team

Letitia Blanco-Alcalá, MSW
Licensed Clinical Social Worker
- District of Columbia (LICSW LC200001499)
- Maryland (LCSW-C 27859)
- Virginia (LCSW 0904006026)
Letitia Blanco-Alcalá has more than 20 years of clinical psychotherapy experience and specializes in working with diverse populations, including ethnic, religious, and sexual minorities. She has over 25 years of experience providing clinical and psychosocial assessments.
She provides a neutral and safe space for children, adolescents, young adults, and older adults, and communicates fluently in both English and Spanish.

Sara Kerai, MA
Licensed Professional Counselor
- District of Columbia (LPC PRC13868)
- Maryland (LCPC LC10855)
- Virginia (LPC 0701009098)
- Michigan (LPC 6401019434)
Sara Kerai is an Licensed Professional Counselor with 16+ years experience working with diverse clients in the Washington, D.C. area and Michigan. Sara has extensive experience counseling people who are coping with significant losses, family caregiving, or a diagnosis of cancer and/or another chronic illness. Using her clinical assessment skills and understanding of trauma to help clients and families with immigration cases is an especially rewarding part of her practice.
Sara has completed training with Cecilia Racine on Mastering Asylum and Hardship Waiver Evaluations for immigration cases and she prides herself on creating safe spaces for adults and adolescents to share their stories. She is a graduate of Boston College and she is licensed to practice in Washington D.C., Maryland, Michigan, and Virginia.

Elizabeth Piren, MA
Licensed Professional Counselor
- District of Columbia (LPC PRC14300)
- Maryland (LCPC LC11052)
- Virginia (LPC 0701009172)
- New Jersey (PC 37PC00442200)
Elizabeth is bilingual (English/Spanish) and has been practicing for over 20 years, specializing in trauma-focused therapy with adults and adolescents. She has worked in private practice and as a counselor at various agencies serving survivors of intimate partner violence and victims of crime. Elizabeth applies her trauma expertise to immigration evaluations, creating a comfortable and safe environment for clients during the assessment process.