| Type | 5 Year Limited |
|---|---|
| Issue Date | 12/5/2000 |
| Expire Date | 7/1/2005 |
| Baccalaureate - Indiana |
| Master - Indiana |
| Master of Education - Northern State University (MAJOR: Guidance and Counseling) |
| 401 - School Counselor |
| 405 - Birth-21 School Psychological Examiner |