Karen M. Federici, M.D.

International Board of Lactation Consultant Examiners® IBCLC Commission

This is to certify that

Karen M. Federici

has met the IBCLC® programme requirements and is thus awarded the right to use the title

International Board Certified Lactation Consultant® IBCLC®

Date of Certification: 2009-11-01 Certified Until: 2029-12-31 Certification Number: L-18491

Portia L. Williams, RN, BSN, IBCLC, RLC, IBCLC Commission Chair Sara Blair Lake, JD, CAE, Chief Executive Officer

Property of the IBCLC Commission