To add to what Joy Anderson said"
     On those rare occasions when a serving breastfeeding counsellor appears to have skated on thin ice with the (very strict) NMAA Code of Ethics, she is sent some sort of "please explain" letter.  This sometimes leads the counsellor to decide that it is time for her to move on (especially if the lapse was because of a tapering off involvement) and so she resigns.  Where this doesn't happen, there are procedures in place, including face-to-face sessions, to resolve the matter.  It may be a simply a lack of keeping up to day and lack of reporting, indicating it is time for the counsellor to resign.  (NMAA counsellors on Lactnet may know more about the process.)  Because of the way the training scheme is set up, and because there are procedures in place, it is highly unlikely that a counsellor would go out and do anything really gross.
     Linda, as regards credentialling:  The NMAA training process would be ideal for government accreditation under the national training policy, but such accreditation involves large amounts of money to go through all the requirements set by the government.  So this hasn't happened.  The downside is of course that women from low-socio-educational backgrounds would find the training very difficult, and culturally at odds.
                  Virginia
                   in sunny Brisbane,
                   an IBCLC since 1985, and
                   both LLLI-trained and NMAA-trained in 1966

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