Unless authorized to practice direct-entry midwifery, an individual may not represent to the public by title, description of service, method, procedure, or otherwise, that the individual is authorized to practice direct-entry midwifery in the State. A licensee may not advertise in a manner that is unreasonable, misleading, or fraudulent. Unless authorized to practice direct-entry midwifery, an individual may not use the abbreviation “LDEM” or use the designation “licensed direct-entry midwife”. Unless authorized to practice direct-entry midwifery or certified as a registered nurse midwife under Health Occupations Article, Title 8, Annotated Code of Maryland, an individual may not use the designation “midwife”.