| NPI | 1477926160 |
|---|---|
| Former Name | KWAYULYN DEMATHIA RUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04143) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11633) |
| 101YP2500X Counselor, Professional (Licence: KY 239719) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401222478) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2026-08-10 |