The driving force behind many of the major progressive initiatives at WSNA from the early 1940s until her untimely death in 1954. She was a leader in both the Counseling and Placement Service and the WSNA Economic Security Program. She was Dean of the University of Washington School of Nursing and served as President of WSNA from 1948 – 1950. She was elected to two terms as ANA First Vice President and as a delegate to the International Council of Nursing. She was also appointed by President Truman as Special Advisor to the World Health Organization.