| NPI | 1679663728 |
|---|---|
| Former Name | MORNA RUTH PEDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 661) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 518) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |