In addition to practicing medicine in Lviv, she also worked in Switzerland, Czechia, and in the Austrian camps during World War I. Okunevska was a public activist and an important figure of the feminist movement in Galicia and Austria-Hungary.

Okunevska was born on 12 May 1865 in the village of Dovzhanka, near Ternopil,[2][6][3] into the family of Atanas Danilovich Okunevsky and Karolina Luchakovska.

In January 1896, she successfully graduated, becoming the first Ukrainian woman of Galicia to obtain a medical university education, and indeed the first female doctor from Austrian lands.

[1] While in Zurich, Sofia Okunevska met a student named Vatslav Damyan Morachevsky (1865-1950),[1] a native of Warsaw, who was known for his pro-Ukrainian sentiments, and in 1890, she married him.

[7] Sofia Okunevska was an exceptionally skilled pianist, and when she met Olha Kobylianska, the sister of her gymnasium teacher, Julian Kobyliansky, she was captivated.

[10] Okunevska, along with her friends Nataliya Kobrynska and Olha Kobylianska, actively contributed to the development of the women's movement in Galicia and Bukovina.

Okunevska authored the scientific investigation "Women's Domestic Slavery in Wedding Songs and Ritual" under her pseudonym of "Yerina", further compiling the works of "Family bondage in songs and wedding ceremonies" (Ukrainian: «Родинна неволя в піснях і обрядах весільних») as well as the premier women's almanac in Galicia, titled "First Wreath" (Ukrainian: «Перший вінок»).

[7] In March 1900, the Senate of the Jagiellonian University in Krakow, at the time subject to Austrian rule as well, recognized the diplomas, but they couldn't find work still.

Morachevsky subsequently went to Karlovy Vary, where he opened his private practice, while Okunevska stayed in Lviv with their children.

She was concerned and outraged by the fact that child mortality in Galicia and the frequency of defects associated with childbirth trauma were the highest in Europe.

[2][1] Morachevsky carried the urn of his daughter with him at all times for the rest of his life.Okunevska moved to Lviv, to the house purchased by Andrey Sheptytsky for the artist Oleksa Novakivskyi, and began providing private medical assistance.