This is a good question. In most provinces and states, Estheticians, also Medical Estheticians, also sometimes called Facial Specialist, Skin Care Specialist, or Skin Therapist, are regulated by the State Board of Cosmetology. In Canada, only Nova Scotia has Licensed Estheticians, the rest of the country is unregulated and education is not required. Many States have websites so consumers can check to make sure their specialist is licensed. Sadly, Canada has nothing like this.