The letters behind someone’s name can be confusing, so it is always a good idea to ask anyone working on your horse what the letters behind their name mean and what kind of education they have. CVA stands for Certified Veterinary Acupuncturist. These letters behind the name of a veterinarian means that they have completed a veterinary acupuncture course, successfully submitted a case report about treating an animal with acupuncture, and spent at least 30 hours learning from another certified veterinary acupuncturist in person. Dr Gnadt received her certification from Chi University, a US Dept. of Education Accredited Institution.