Relationships

Myriame Nicolas, PMHNP-BC
Board-Certified Psychiatric Mental Health, Nurse Practitioner

Myriame Nicolas is a dedicated and experienced Psychiatric Mental Health Nurse Practitioner licensed in California, with over 18 years of experience as an inpatient psychiatric registered nurse. Raised in Park Slope, Brooklyn, New York, Myriame completed her undergraduate studies in Psychology at Nyack College. She later earned her Bachelor of Science in Nursing at New York University, where she received specialized training in psychiatry at Bellevue Hospital.

Throughout her extensive career, Myriame has gained invaluable experience working with diverse populations across multiple states. Her expertise spans psychiatric emergency care, mood disorder units, eating disorders units, substance use treatment, and both geriatric and pediatric mental health. While managing her responsibilities as a traveling nurse, she pursued and completed her Master’s degree as a Psychiatric Nurse Practitioner at Walden University.

Myriame’s practice is distinguished by her profound compassion and empathy for individuals navigating vulnerable phases of their lives. She is deeply committed to ensuring patient satisfaction and improving health outcomes. Fluent in French-Creole and knowledgeable in American Sign Language, Myriame effectively bridges communication gaps to provide inclusive and patient-centered care.

Christina Lam, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner

Christina Lam is dedicated Nurse Practitioner with years of nursing experience. Her background is in psychiatry, emergency, and critical care. She is a skilled communicator who is professional, personal, and very adaptable. She is self-motivated with energy, initiative, and focus. She has a keen insight into the needs and views of others. She is able to listen and identify issues or problem areas and form innovative solutions.

Christina graduated from University of San Diego in 2010, obtaining her Family Nurse Practitioner’s certification in 2011, and most recently became certified in 2019 as a Psychiatric-Mental Health Nurse Practitioner. She specializes in Children, Adult, Family and Geriatric Psychiatry.

Charlie Perez, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner

Charlie Perez is a Board Certified Psychiatric Mental Health Nurse Practitioner. She has been studying treatment modalities in Sports Medicine, Psychology, and Nursing for the last 19 years. She has practiced medicine in Flight Nursing, Critical Care, Emergency, Surgical, Cardiovascular and Trauma for the last 11 years finding her ultimate passion in Psychiatry. She has been working as a Chief Flight Nurse, an Administrative Liaison at Sharp Mesa Vista inpatient, and a Hypnotherapist for the last three years before coming to Crownview.

Charlie earned her Bachelors of Science degree in Sports Medicine and Psychology at University of the Pacific, then earned her Bachelors of Science degree in nursing at University of Texas at Arlington, ultimately earning her Masters in Nursing and Doctorate in Nursing at Frontier Nursing University. She has worked throughout San Diego’s healthcare system such as Scripps, Sharp, Kaiser, UCSD, and Paradise Valley Hospital.

Charlie finds truth in the words of the great psychiatrist Milton Erikson, “Every person’s mind is as unique as their fingerprints, as there is no finding of any duplicate fingerprint”. We are wired specifically in a way that our environment and our own mind intended to help us as an individual to survive. It then makes sense why the same sentences can be understood differently by two people. That’s why therapy and practice in any modality should be to assist and support the individual and not the individual to the modality.

Kimberly Umansky, FNP-C
Family Nurse Practitioner

Kimberly Umansky is a Family Nurse Practitioner, board certified by the American Academy of Nurse Practitioners certification board and is qualified to practice in both primary care and psychiatry and to diagnose, treat, and prescribe medication for children, adolescents, and adults. Some of her practice specialties include (but are not limited to) ADHD, Depression, Anxiety, Panic Attacks, and Insomnia. Kim’s style of practice includes traditional treatment (prescribing up-to-date psychiatric medications) combined with natural treatments including nutrition, lifestyle modification, exercise, and stress management. She believes the mind-body connection is the core foundation to any treatment, health, and wellness.

Kim began her nursing career in 1995, and over the course of twenty seven years of medical practice, she has had the privilege to work in a variety of different practice areas, including gynecology, dermatology, internal medicine, pediatrics, post-anesthesia care, and hospital based nursing before earning her Masters in Nursing with a focus as a Family Nurse Practitioner in 2017. Kim received her Associate of Science and Associate Degree of Nursing from Ohlone College. She went on to receive her Bachelor’s degree from University of Phoenix and then her Master’s Degree with Distinction from Chamberlain College of Nursing with a focus as a Family Nurse Practitioner. Kim currently works in both internal medicine and psychiatry. It was during her time working in internal medicine that she realized that many of her patients were struggling with their mental health. Realizing that psychiatry was her passion, she wanted to help others by providing tools to manage their mental health concerns. Kim has always enjoyed helping people and finds her work very rewarding.

Joanne Talbot Miller, M.A., LMFT
Licensed Marriage & Family Therapist

Joanne Talbot Miller is a licensed marriage and family therapist with a background in crisis intervention. Joanne began her career as an MFT working in an emergency shelter program for survivors of domestic violence and human trafficking with substance abuse and severe mental health issues. Joanne has provided individual and group therapy within residential and outpatient transitional housing programs. She has facilitated groups on domestic violence education, safety planning, anger management, communication, substance abuse, prevention, and independent living. She has worked on a crisis hotline for students providing suicide assessments, suicide prevention and support to transitional age youth. Joanne provided crisis counseling and helped students connect with services such as drug and alcohol treatment, emergency housing, and mental health treatment.
Joanne’s career has a strong behavioral background working with children and adolescents with developmental, emotional, and behavior problems. Working with the whole family Joanne taught strategies to improve behavior, family functioning, and alleviate daily stress in the home.

Joanne brings an integrative approach to therapy that brings together the affective, behavioral, cognitive, and physiological levels of functioning. This approach helps individuals gain insight into themselves, and reduces unhealthy, dysfunctional defense mechanisms and patterns of behavior.

Joanne graduated from the University of Luton in England and continued her education earning her Master’s Degree in Marriage, Family, and Child Therapy from the University of Phoenix.

J. Heather Fitzpatrick, LCSW
Therapist

As a naval spouse and the mother of an autistic child, J. Heather Fitzpatrick, LCSW knows how difficult it can be to cope with adversity. As an experienced therapist, Heather is well equipped to help guide you towards a happy and fulfilling life.

Heather earned her BA in Psychology from prestigious Clark University in Worcester, MA and went on to obtain a Masters in Clinical Social Work from well known Smith College in Northampton, MA. She has worked in the mental health field since 2001 and was last employed by Fleet and Family Services in Coronado, CA before entering private practice with Crownview Medical Center.

Heather serves children, adolescents, adults, couples, and families using a variety of treatment modalities to help clients address issues such as depression, anxiety, trauma, PTSD, substance abuse, relational problems, parenting concerns, and life adjustments to name a few.

Current Licensing Information: LCS No. 28929, Board of Behavioral Sciences, CA

Agata Nowakowska
Marriage and Family Therapist

gata is a Licensed Marriage and Family Therapist who provides guidance to individuals and families to feel more empowered in managing life’s obstacles, rebuilding important relationships and reaching their highest potential.

She received her Master’s Degree in Counseling from San Diego State University. Throughout her career she has worked in a variety of settings helping culturally diverse individuals, children and families, struggling with emotional, social, developmental and academic issues.

Her primary approach to therapy is collaborative, holistic and strength based, offering a compassionate and healing space where clients feel safe to explore their unique thoughts, beliefs and feelings. She has over 10 years of experience incorporating into her practice CBT, Narrative and Solution Focused Therapy, as well as Expressive Arts and Play Therapy.

Agata treats the following issues:

[divider style=”empty” margin_top=”10px” margin_bottom=”0px”]
Agata specializes in, and enjoy working with, children and adolescents using Expressive Arts and Play Therapy techniques to which children respond very well and often prefer over traditional therapy. She is a Certified Parenting Coach of Redirecting Children’s Behavior and Joy of Parenting Program. From her personal experience being a mother to a teenage boy and stepmother of two children, she can relate and likes to help parents and step-families struggling with parenting issues.

Brianna Meacham
Marriage and Family Therapist

Bachelor of Arts, Psychology, Minor, Business Administration
University of Oregon, Eugene, OR, June 2002
Master’s, Marriage and Family Therapy
Alliant International University, San Diego, CA, June 2005

Brianna is a Marriage and Family Therapist, licensed with the Board of Behavioral Sciences, license #48685.

Following graduate school she gathered 3000 hours of experience to sit for the licensing exams and became licensed by the Board of Behavioral Sciences in 2010. In that time she worked as a Service Coordinator at the San Diego Regional Center and as a Program Therapist at the San Diego Center for Children. Additionally, she kept a private practice at First Avenue Counseling Centre. Currently she works as a clinician for Paradise Valley Hospital and see clients at Crown View Medical Group. Brianna is also a member of the American Association for Marriage and Family Therapy. She has experience with the following:

[divider style=”empty” margin_top=”10px” margin_bottom=”0px”]
Brianna utilizes many different theoretical models to help clients reach their goals including the following: