| Type | Advanced Professionals |
|---|---|
| Issue Date | 6/4/1982 |
| Expire Date | 7/1/7777 |
| Baccalaureate - Indiana |
| Doctor of Philosophy - University Of South Dakota, Vermillion (MAJOR: Psychology) |
| Master of Art - University Of South Dakota, Vermillion (MAJOR: Psychology) |
| 404 - Birth-21 School Psychologist |