Born and studied ballet in Japan, and at North Carolina School of the Arts in United States, Azusa danced with Ballet Austin, and several dance companies in United States and in Japan. She continued her studies at Folkwang University in Germany, and joined the Tanztheater Wuppertal Pina Bausch in 2000, having created pieces with Pina Bausch and performed in repertoire pieces such as Café Müller. Azusa also became a rehearsal director for Pina Bausch’s repertoires, and has danced and worked as a rehearsal director with Fabien Prioville Dance Company. In 2014, Azusa choreographed a piece for Gold Theater in Saitama Japan. She participates in a transmission project by the Pina Bausch Foundation as rehearsal director for re-staging of Pina Bausch’s piece to such as Bavarian State Ballet’s and Royal Ballet of Flanders. She danced in Pedro Almodóvar’s film Talk To Her (2002) and in Wim Wenders’ documentary PINA (2011).