How does specializing work?

I'm debating between respiratory therapy or radiographic imaging, either way, my biggest goal is to work for a travel agency (I was looking into nursing, but I don't think I have the right personality for that field).

It seems that there are many specializations in radiology and I was just curious how it works.

Does it just require taking certification exams?

Or is it hoping there is a need in your place of employment and they're willing to train you in that specialty?

Is it possible to be certified in more than one area?

Thanks!

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