| NPI | 1679663728 | 
|---|---|
| Former Name | MORNA RUTH PEDERSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 518)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 661)  | 
| Enumeration Date | 2006-10-12 | 
| Last Update Date | 2025-09-11 |