​The Pacific Islander Health Board of WA


The Pacific Islander Health board seeks to cultivate resilience within our communities to achieve health equity through culturally safe and community driven solutions, traditions, advocacy, and policies.


We envision a world where all Pacific Islanders are healthy, connected, and thriving.



​We value that health is spiritual, physical and emotional. We value our traditional healing practices and hold advocacy, community, equity, social justice and liberation as a means to guide our board. 

PI Health Board Staff

Mia McFarland

Outreach Staff

Prenatal Focus Groups

Mia is a graduate of Western Washington University, with a degree in Urban Development and Environmental Studies. She was the youngest executive board member of the National Organization for Women, Seattle Chapter, and has also been very active in the larger community. Mia is also a filmmaker who has co-created a few documentaries, learning these skills as a member of Reel Grrls, Seattle. She encourages young Pacific Islanders to learn these skills in order to share our stories.

Toka Valu

Outreach Staff

Prenatal Focus Groups

Toka was born and raised in the South Pacific Islands of Tonga and migrated to the United States with his late mother in 1997. He has an extensive background in student and leadership development after having spent the past ten years at the Office of Minority Affairs & Diversity at the University of Washington. He is an active member of the Tongan Community of Seattle and is glad to be in his current role with PIHB that prioritizes his commitment to Pacific Islander community health advancement. Toka is an professional artist, a father, and a devoted partner living with his family in Seatac, WA.

Lika Smith


Born in Samoa and raised around the world with her military parents, Lika developed a respect for people and their cultures. She is grateful to her strict Samoan parents who taught their children the ways of fa'a Samoa and for her beloved elders who shared our stories of tradition and brought history alive.

Lika has been active in various organizations- UTOPIA-Seattle, Samoan Cultural Committee, NAPAWF, APALA, International Women's Day-Seattle, Seattle NOW, MLK Organizing Committee, LELO and more. She is currently a board member of APACE as she works to get her Pasifika community active in political issues. Everything is political.

Our Board 2018-2021


Tara Mudaliar MSM, RN

Rainier Valley Midwives

Tara is a Hawaiia/Indo-Fijian midwife/nurse.  Her parents had nine children and taught her that birth should be family-centered, and promote feelings of safety and confidence.  As a trained midwife, she values those principles and values women as the ultimate decision makers about their care. 


Tara graduated with her Masters of Science in Midwifery from Bastyr University and is a Registered Nurse. Tara served for 3 years on the Board of Directors for the Midwives Association of WA state, and is now an active member of the Pacific Islander Health Board. 


Tara is a co-founder of the South Seattle Women’s Health Foundation and the current Executive Director of the Rainier Valley Community Clinic. She loves going on adventures with her son, 13 nieces and nephews, and traveling the world with her husband.


Casierra Cruz

Partnerships for Native Health

Casierra Cruz is a native CHamoru who was born and raised in the Mariana Islands (Guåhan) in Micronesia. After receiving her Bachelor's degree in Health Science with a concentration in Public Health from the University of Guam, she worked in various public health fields including social and behavioral health, cancer research, and environmental protection and conservation.


In 2016, she moved to Seattle and earned her Master's degree in Community-Oriented Public Health Practice from the University of Washington. As a graduate student, she focused on centering Indigenous narratives, relationships, and cultural values in every aspect of community health, healing, and well-being.

Casierra currently works as a coordinator at Partnerships for Native Health where she manages projects focused on hypertension management among Pacific Islanders, Native Americans, and Alaskan Natives across the country.

Board Member

Taffy Maene Johnson

UTOPIA Seattle

Taffy is unapologetically Fa’afafine and a trans woman of color from Samoa. She is a queer & trans activist and community organizer. Taffy is the founder and Executive Director of United Territories of Pacific Islanders Alliance (UTOPIA) Seattle chapter, a grassroots organization born out of the struggles, challenges, strength and resilience among the Queer & Trans Pacific Islander community.


She has worked in the movement for LGBTQI rights and equality for over 10 years. Taffy has been a resource, refuge and support to many Fa’afafine and PI individuals who are making the long trek to the Pacific Northwest in search of better opportunities.

Board Member

Brianne Ramos


Brianne bio

Board Member

Ashley Seni

SCI Solutions

Ashley was born in Seattle and raised on Beacon Hill with roots in Leone and Pago Pago, Tutuila, Samoa.  She is grateful for an upbringing that was steeped in values of community, respect, and service and a deep love of learning.  


She graduated from Stanford University with a B.S. and M.S. in Materials Science and Engineering.  Ashley enjoys tackling complex technical puzzles, which has led to her professional work in healthcare IT.  She works with clients, from healthcare systems to pharmaceutical and medical device companies, to implement digital solutions for engaging patients, delivering and coordinating care, tracking interventions, and collecting outcomes data.

Board Member

Cece Heine


Cece bio

Board Member

Farrah Ka'Healani Rivera MSM, CPM, LM- Open Arms

Farrah Ka'Healani Rivera is the Birth Collaborative Director with Open Arms.  She was born and raised on the island of Oahu and is of Itneg, Tinguian decent.  Her journey towards midwifery started before her she could serve laboring women. Her great grandparents Salome,  Frances and Magdalena Mendoza delivered babies in their village of Abra in Es Ilocos Norte in the Philippines.


As an organizer, domestic violence activist, community doula and women circle facilitator in LA, she collaborated with other women and founded Ixchel Midwifery and the Los Angeles division of the Justice for Sister Collective. She also volunteered her time with the teen mothers program for Planned Parenthood and participated in Los Angeles based birth documentary, "Tlakatiliztli" directed by Dee Lopez. 

She received her Master’s in Midwifery from Bastyr University where her thesis focused on “The Importance of Cultural Influences in Maternity Care.”


Jiji Jally

Marshallese Womens Association

Marshallese Community of WA

Board Member

Siniva Driggers, RN

Samoan Nurses Organization in WA

Siniva Driggers graduated from Seattle University with a Bachelor of Science Degree in Nursing in 1993. She is the founder of the Samoan Nurses Organization in WA (SNOW) and works within the Pacific Islander community doing outreach and health education and more.


She is a dedicated advocate, voice and navigator in all health and life issues to our community, connecting them to resources, as well as helping them navigate the systems in the State of Washington. Siniva volunteers in many community service capacities, providing blood pressure and blood sugar clinics, to Senior Meal Sites, and at Mercy Housing Community.


A member of several community based organization like the Community Health Worker Collaborative, Pacific Island Health Board, Asia Pacific Island Coalition Advocating Together, and Asia Pacific Cultural Center.

Board Member

Lynette Seigafo

Interim CDA

Talofa! O lo'u igoa o Lynette Fa'ateine Seigafo. I was born in San Francisco but raised in American Samoa. Attended the University of Hawaii at Hilo where I received my bachelor's in Communication. Now working as a fund development assistant at InterIm CDA. Our organization has a lot of programs, my job is to host events to keep connected with our donors and our supporters. 


I was introduced to PIHB by my ex-roommate and best friend, Tia Aga Tevaseu. I have joined summer of 2017. Thankful to be working with our Pacific Islanders helping our communities health issues.

Board Member

Brenda Kelek

Community Health Worker


Board Member

Esther DeBrum

Marshallese Community

Esther Bio

Board Member

Frances Limtiaco

Washington State Dept of Health

Frances Limtiaco has been employed with the Washington State Department of Health (DOH) for 10 years, most recently serving as the Program Manager for the state Tobacco and Vapor Product Prevention and Control Program, a position she has held for 3 years. 


Frances served as a DOH Healthy Communities Consultant and DOH Community Contracts Manager. She was also a co-founder of the cross-agency Health Equity work group for the department. Prior to joining DOH, Frances served for 4 years as a public health advisor with the former Washington State Department of Early Learning (DEL).

Frances holds a Masters Degree in Public Health. She is the mother of 2 adult sons and resides in Lacey, Washington.


Sili Savusa

White Center CDA

Sili has more than 20 years of experience in leadership and community service positions involving policy development, cross-cultural coalition building and community organizing for social justice issues. She is currently the executive director of the White Center Community Development Association, which promotes the development of White Center through leadership opportunities and community-led, neighborhood initiatives.

She also serves on the Governor’s Commission on Closing the Achievement Gap, the Washington State Commission on Asian Pacific American Affairs committee and Community Center for Education Results steering committee.  She is also the founder of the first Samoan/Pacific Islander Parent Teacher Student Association in the nation, which works to address education issues impacting Pacific Islander students and their families.

Board Member

Robin Narruhn, PhD, MN, RN

Seattle University School of Nursing

Robin Narruhn is Marshallese on her father’s side and has roots in the Marshall Islands, Kiribati, Fiji and New Zealand. She is a long-time maternity child nurse. After a critical event in her workplace she went back to school and earned her Master’s in Community Health and Global Nursing and a PhD in Nursing Science. Her research interests are in immigrant health, structural competency, she uses a critical theory framework.


She is a founding member of the Pacific Island Health Board of Washington and the Community Health Board Coalition of Washington.


Board Member

Deidre Weakly

Northwest Ambulance 

Deidre Weakley is a native Chamoru who was born and raised in the Mariana Islands (Guåhan) in Micronesia. After receiving her Bachelor's degree in Health Science with a concentration in Exercise Science and Health Promotion, she worked as a health and wellness educator and promoter for several years.

In 2016, she moved to Seattle to expand her education and work experience in emergency medicine and rehabilitation. She currently works as an Emergency Medical Technician in Washington and hopes to return and give back to the islands as a first responder.   

Board Member

Lilie Sataraka-Alailima

Quest Diagnostics


Board Member

Rachel Tamngin

Legal Assistant

Rachel bio

Board Member

Tiva Aga, RN

Samoan Nurses Organization in WA

Tiva bio


If you're interested in joining the board or volunteering, please send a note to pihealthboard@gmail.com