Satya Shiva has been studying with Pema Khandro Rinpoche since 2001. She is the Chief Operating Officer for Ngakpa International since 2010 and is a member of the Board of Directors. Satya is the Panchakarma Clinic Director of the Yogic Medicine Institute since 2004, a Doctor of acupuncture and Oriental Medicine, as well as a NAMA certified Ayurvedic Practitioner.