Interested in Garden-Based Nutrition Counseling? Limited Spots. 👉Learn More About Seeds of Strength

Hi there!
I'm Sandra Pearce. (she/her)
I’m a Dietitian with over seven years of experience working with adolescents and adults. I’m Certified in Fertility Nutrition and Nutrition for Pregnancy through the Early Life Nutrition Alliance.​ I’m also an integral part of our Seeds to Strength program, where I offer garden‑based nutrition sessions that connect the process of growing food with overall well‑being.
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Clinical Interests: 16+, Chronic Dieting, Disordered Eating, Prenatal/Pregnancy/Postnatal, Menstrual Health (PCOS, PMDD, Menopause, Perimenopause), Post Bariatric Surgery Support, Diabetes Support, Nutrition-Related Diagnoses
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Ongoing Learning: I’ve found a real passion for working in the fertility space, and I also love providing continuing education to other providers around the nutrition topics that inspire me.
Practice Locations: Providing services in our Puyallup office and virtually throughout Washington. Offering individual sessions in our community garden from May to October through the Seeds of Strength.
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Practicing Under the Supervision: Kelsey Johnson, RDN, LMHCA, CEDS, CD
About Me
I’m a Dietitian with seven years of experience working with adolescents and adults. My work centers on supporting individuals through prenatal, pregnancy, and postnatal nutrition, as well as menstrual‑related health concerns including PCOS, menopause, and perimenopause. I also provide Medical Nutrition Therapy for a wide range of health needs—including diabetes, heart health, digestive concerns, and general wellness—so people of all genders can access compassionate, evidence‑based nutrition support. My approach is weight‑inclusive and grounded in helping individuals build a more peaceful, trusting relationship with food and their bodies.
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With multiple years of experience in the bariatric field, I understand the complex relationship with food that many people face after bariatric surgery. I believe deeply in the importance of healing that relationship and guiding individuals toward a sustainable, nourishing approach to eating that supports both physical and emotional health.
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From May through October, I offer nutrition counseling in our Seeds of Strength community garden, where I partner with our therapists and the program’s gardener to blend evidence‑based nutrition support with the healing power of nature. These sessions help individuals reconnect with growing and preparing food while building resilience and supporting mental health for those navigating challenges such as depression, OCD, eating disorders, and PTSD.
Credentials + Professional Involvement
Certified Registered Dietitian in Washington State
Certificate in Fertility Nutrition - Early Life Nutrition Alliance
Certificate in Nutrition for Pregnancy - Early Life Nutrition Alliance
International Conference Speaker for American Society for Metabolic and Bariatric Surgery
Webinar Presenter for the Academy of Nutrition and Dietetics
Insurances & Payment
Aetna
Anthem
Blue Cross Blue Shield
Community Health Plan of WA (Apple Health/UHC)
First Choice Health
Healthcare Management Administrators
Kaiser HMO
Kaiser PPO
Lifewise
Molina (Apple)
Molina (Commerial)
Premera
Regence
Regence Group Administrators
UnitedHealthcare (Commercial)
Private Pay & Out-of-Network Option