The certification from the Hand Therapy Certification Commission (HTCC) has been achieved by only a small number of people in the San Joaquin Valley.

Fultz' certification allows her to perform advanced hand therapy in the treatment of wounds, strokes, fractures, and trauma to tendons and ligaments.

The Stanislaus County Health Services Agency (HSA) is an outpatient medical system with 9 medical offices located throughout Stanislaus County. The HSA operates the Public Health Department, an Urgent Care Center and multiple programs serving over 400,000 patients and clients each year in Stanislaus County. The HSA also is in local partnerships for the MOMobile project and the Stanislaus Family Practice Residency Program.