Bradford Providers

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Joel earned his medical degree at the University of Pennsylvania School of Medicine in 1993, and he completed his Family Medicine residency at Thomas Jefferson University Hospital in Philadelphia in 1996. Since then, he has happily served as a primary care physician and clinician leader in sites as varied as the Indian Health Service in Northern New Mexico and both academic and community-based practices in the Upper Valley. In all these settings, as also now at Little Rivers, Joel places special priority on patient and family empowerment, relationship-centered shared decision-making, and whole-person integration of physical, mental/emotional, and social health. In this spirit, Joel has also devoted several years to training as a teacher of mindfulness meditation, and he brings this experience both to his clinical care and to service offerings in the larger community. 

When not working, Joel finds continued delight and deep peace in the great outdoors of beautiful Vermont, where he has lived with his wife for more than 20 years, and where they raised their two wonderful sons. He is also a lifetime lover of music, and for decades he has sung as an enthusiastic tenor in community choruses.

Maureen obtained her Bachelor’s Degree in Nursing from the University of Maine at Orono, and Master’s degree from the University of Tennessee, Knoxville. She is certified as a Family Nurse Practitioner, and has a special interest in Women's Health, as well as Diabetes and COPD. She enjoys gardening and spending time with her family, hiking, skating, and watching her children's sporting activities.

Jenny is a Doctor of Nursing Practice and holds certification as a Family Nurse Practitioner. They greatly enjoy following patients and families through the journey of their lives as an advocate for patient choice. Their doctoral research aimed to increase gender diversity knowledge within Primary Care Practices. They also completed a specialty rotation as a student in orthopedics.

Prior to becoming a Nurse Practitioner, Jenny started their career at Johns Hopkins Hospital in Baltimore, then spent close to a decade working in public health and higher education. Through this experience they understand the role of primary care consists of supporting patients with education and information and championing their decisions.
 
Outside of the office Jenny enjoys both active pursuits such as rock climbing and mountain biking, as well as jigsaw puzzles, french fries, and good naps. 

Ayla is a Doctor of Nursing Practice with a specialty in Family Medicine. She grew up in the Upper Valley and has remained a resident here since childhood. Before Little Rivers, she worked in the Intensive Care Unit at Dartmouth Hitchcock Medical Center for 9 years. She has provided international health care to vulnerable populations in in Australia, New Zealand, Kenya, and Costa Rica. Her doctoral research focused on how trauma affects physical health and the development of chronic disease. She is a Reiki Master and strong advocate for alternative medicine, integrated wellness, and practices with a holistic approach. She focuses on family medicine, pre- and post-natal care, pediatrics, addiction medicine and gender affirming care. 

Betsy completed her Masters of Clinical Mental Health Counseling with a Certificate in Trauma Counseling at Antioch University in 2023. Betsy has worked with adults aged 18-80 on a wide range of issues including anxiety, depression, PTSD, chronic trauma, mood disorders, and grief.  Betsy has completed additional training in the neurobiology of trauma, trauma-informed practice, attachment, and the role of mindfulness and self-compassion in therapy. She has special interests in grief, trauma, and perinatal mental health. Prior to working as a clinical mental health counselor, Betsy worked as a sleep consultant for mothers and infants. Betsy’s practice centers collaborative, strengths-based psychotherapy grounded in neurobiology, and draws on approaches from Sensorimotor Psychotherapy, Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT) and directed mindfulness.

Kim is a Licensed Independent Clinical Social Worker. She has a 33-year history of working with children and families, in various settings. She worked in a group home for pregnant and parenting teens where she taught parenting classes, childbirth education classes, and provided support, education, and home visits to teen moms in the Upper Valley Region of Vermont and New Hampshire. She has co-facilitated Strengthening Families programs in both Vermont and New Hampshire. Kim has worked in community mental health settings, school settings, and in medical practice settings to provide counseling, support, and education. She utilizes many approaches in her work including, Trauma-Informed Therapy, Play Therapy, Acceptance and Commitment Therapy, Cognitive Behavior Therapy, Early Childhood Development and Parenting Education, managing anxiety and depression, and variety of psycho-dynamic approaches. Currently Km is providing services in the Bradford Clinic of LRHC, including facilitating a parenting support group on Wednesday evenings from 5 – 6 pm; and she is embedded 3 days a week at the Thetford Elementary School where she sees children individually and provides family counseling. 

Tracy completed her Masters of Social Work degree in 2005 at the University of Central Florida and became a Licensed Independent Clinical Social worker in 2009. Tracy has worked with individuals, families and groups from ages 3 through 89 in a variety of settings. Her experience includes working with individuals who experience symptoms of Anxiety, Attention Deficit Hyperactivity Disorder, Trauma and other mental health and substance use diagnoses.

Tracy utilizes a strengths perspective while incorporating multiple modalities into her sessions, including but not limited to: Cognitive Behavioral Therapy (CBT), Mindfulness, Play Therapy, and Narrative approaches, as well as Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT). Tracy became a Licensed Drug and Alcohol Counselor in 2018 and is currently training and working towards her EMDR certification.

Lila Bradley completed her Master of Arts in Counseling for Mental Health and Wellness from New York University in 2023. Lila’s previous experience was working at the Crisis Center of Central New Hampshire, an agency dedicated to serving survivors of physical and sexual abuse, human trafficking and stalking. Lila’s experience includes play therapy and brief, solution-focused therapy. Lila enjoys working with children, parents and families utilizing a strength-based approach and Acceptance and Commitment Therapy (ACT) approach.