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Keiko I. has held various roles in the field of fertility since 2002. Keiko began their career as a Cross Cultural Trainer and Language Instructor at Language Institutes. In 2011, they moved to Reproductive Fertility Center as an Operations Manager and Marketing. In 2017, Keiko I. was appointed as the Director of Marketing at Western Fertility Institute. In 2018, they were promoted to Director of Operations at Incinta Fertility Management/Center, LLC. Currently, they are the VP of Operations at Global Premier Fertility.

Keiko I. completed their Doctor of Business Administration in International Business from Antioch University Santa Barbara in 2010, and their Master's degree from National Kaohsiung First University of Science and Technology in 2007.