A certified athletic trainer since 1997, Hirai earned her Whitworth degree in 1996. She has co-authored a book on sports taping and has also translated several athletic-training texts into Japanese. She teaches part time at Fuji Athletic and Business College and also works for R-Body Project, a training and evaluation center for athletes in Tokyo. Hirai is also an interpreter and is editor of the newsletter of the Japan Athletic Trainers Organization. Her primary position is serving as testing manager for the Japan Anti-Doping Agency. She has served as a team trainer and clinical supervisor for several Japanese football teams and has also worked as a tour leader, bringing students from Fuji College to visit Whitworth in both 2004 and 2005. Whitworth Athletic Training Education Program Director Russ Richardson says that Hirai has represented Whitworth Athletic Training better than any graduate in his nearly 20-year tenure.