About us
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What We Do Best
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About the NHAND
You came to the right place to find Naturopathic Doctors in NH.
The New Hampshire Association of Naturopathic Doctors (NHAND) is an organization comprised of New Hampshire state-licensed naturopathic doctors (also known as NDs).
NHAND was founded in 1988 with the intention of advancing the philosophy and art of naturopathic medicine within the state of New Hampshire. The law granting licensure to naturopathic doctors was passed in 1995 and instituted in 1996. Since that time, the NHAND has expanded to 40 members and the governing board has licensed over 100 naturopathic doctors in the state of New Hampshire. One of NHAND’s greatest accomplishments has been to assist in the ability for naturopathic medicine to be covered by some insurance companies in the state. The organization continues to grow and be active in New Hampshire by organizing the largest yearly naturopathic medicine conference in New England, as well as working to increase awareness of national Naturopathic Medicine week...
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Meet The Board

Michelle Haff, ND
President
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Amanda Hegnauer, ND
Vice President
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Dr. Amanda Hegnauer is a licensed primary care naturopathic doctor in the state of New Hampshire. She earned her Doctorate from Southwest College of Naturopathic Medicine in Tempe, AZ. Since her time spent in Arizona she has worked in the Naturopathic field, organizing and running a local Naturopathic office, working in the supplement industry and was the past Executive Coordinator for the New Hampshire Association of Naturopathic Doctors. She enjoys practicing as a primary care naturopathic doctor, lecturing within the community and acting as a Wellness Educator for the Concord CoOp. Dr. Hegnauer continues to write for and is published in Naturopathic Doctor News and Review. She is a member of the New Hampshire Association of Naturopathic Doctors and the Association for the Advancement of Restorative Medicine. She was a past member of the State of New Hampshire Naturopathic Licensing Board.

Karolina Pray, ND, DC
Treasurer
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Dr. Karolina Pray received her Doctorate of Naturopathic Medicine from the National University of Health Sciences in Lombard, Illinois in 2021. In 2023, she earned a second doctorate at NUHS as a Chiropractic Physician, graduating with honors in both programs of study. Dr. Pray is also trained in Jin Shin Do–an energetic technique that incorporates acupressure to clear stress and trauma from the body. She holds a diploma in massage therapy as well and certification in Acupuncture.Â
Dr. Karolina’s areas of special interest include autoimmune diseases such as Rheumatoid Arthritis and Hashimoto’s, Irritable Bowel Syndrome, Small Intestinal Bacterial Overgrowth, Interstitial Cystitis, Yeast and Mold overgrowth, vector-borne illnesses such as Lyme disease, mental health and wellness, and food and chemical sensitivities–just to name a few. Additionally, she specializes in women’s health targeting issues such as PMS, PCOS, fibroids and irregular menstrual cycles.Â
On the weekends and in her free time, Dr. Karolina enjoys hiking in the mountains, skiing, yoga, and traveling. She is fluent in English, Czech, Slovakian, and has a working knowledge of French, German, and Polish. She is a strong advocate for marginalized groups, and is an elder care volunteer.Â
EDUCATION
2023Â Doctorate of Chiropractic Medicine, National University of Health Sciences, Lombard, IL
2022Â Acupuncture Certification
2021Â Doctorate of Naturopathic Medicine, National University of Health Sciences, Lombard, IL
2014Â Licensed Massage Therapist, Cayce/Reilly School of Massage, Virginia Beach, VA
2009Â Master of Business Administration, Rochester Institute of Technology, Rochester, NYÂ Â

Alyssa Marley, ND
Secretary
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Dr. Marley focuses on whole family health care, serving both female and male clients from infancy onward. Her practice primarily centers on hormonal imbalances including thyroid, adrenal, and reproductive hormones; women’s health concerns such as irregular menstrual cycles, recurrent vaginal or urinary tract infections, premenstrual syndrome, polycystic ovary syndrome, fertility and preconception care; digestive disorders like acid reflux, small intestinal bacterial and fungal overgrowth, irritable bowel syndrome, and inflammatory bowel disease; autoimmune diseases such as Hashimoto's disease, Celiac disease, rheumatoid arthritis and more; chronic infections including viral, bacterial, fungal, and tick-borne; and environmental detoxification.
In her free time, Dr. Marley enjoys spending time in nature—hiking, cycling, and swimming—and in her kitchen cooking up delicious recipes and baking allergen-free desserts. She loves to travel and frequently visits Cyprus and Poland where the majority of her family lives. She is excited to serve the New Hampshire ND community in her new role as secretary.

Rhea Abbott, ND
Executive Coordinator
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During childhood summers in New Hampshire, Nana used garlic oil for swimmer's ear, sliced up aloe leaves for sunburns, and had little brown bottles of tinctures in her pantry for tummy aches and trouble sleeping.
Twenty years later, I discovered an entire branch of medicine that honored her natural approach to healing and married it with the lessons of modern science. I began med school at Bastyr University to earn my doctorate in Naturopathic Medicine.
As you can imagine, med school wrecked my sleep (having a baby during those years didn't help!), but my first course in sleep medicine empowered me to reclaim this element of health I so desperately needed. When I experienced for myself how good sleep improved my physical and mental health, I knew this was the niche for me.

Sarah Ouano, ND
Conference Director
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Sarah Ouano, ND, is a Connecticut- and Vermont-licensed naturopathic doctor, certified lactation support counselor, and certified wellness counselor. A 2011 graduate of National University of Health Sciences, she serves as Executive Assistant for the Connecticut Naturopathic Physicians Association and Conference Director for the New Hampshire Association of Naturopathic Doctors, contributing significantly to the advancement of naturopathic medicine in New England.
In addition to her association work, Dr. Ouano maintains a small private practice in Watertown, CT, providing Lyme-literate naturopathic care to patients of all ages. She is also the founder of NaturoProjects, a health communications firm supporting naturopathic and medical doctors in their creative endeavors, especially in the realm of book publishing, event planning, and branding and identity development.
Beyond her professional life, Sarah can be found with her wife, two children, two doggos, and lionhead bunny, tending to their backyard garden, planning their next trip to Disneyland, or enjoying the simple pleasure of a good bowl of noodles.
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