Bethrah has been piercing since 1995. After completing her Gauntlet course work she was mentored by Elayne Angel who has continued to provide both professional and personal support throughout her career. She founded Virtue and Vice Body Piercing in 1995. In an effort to keep up with current piercing related information she became a member of the Association of Professional Piercers (APP) in 1996. Her roll shortly switched from student to teacher when in 1998 she was appointed as Secretary of the APP. During her tenure with the A.P.P. she organized multiple US conferences, two in Europe and the annual members retreat. She served ten years as secretary and three as president and continues to serve on several committees. She provides health and safety educations at events worldwide.