Our Team




Mary Frances Bayer, LMSW

Mary Frances has enjoyed partnering with families of children with special needs throughout Western New York for over twenty year, in home and community-based settings. Trained in play therapy, Mary Frances has collaboratively worked with children, families and educators in the areas of behavior management, grief, disabilities, sensitivity, attachment, abuse and neglect, and self-regulation. Other community work includes training early childhood educators on a variety of behavioral interventions and childhood behavioral disorders; for example, the importance of early attachment, managing challenging behaviors, and understanding sensitivity in young children. A graduate of The UB School of Management Center for Entrepreneurial Leadership and mentor for the Allstate Minority and Women Emerging Entrepreneurs Program, Mary Fran values working side by side with service providers who share the agency's core values and a healthy work/life balance.


Amy Ruffino, MS, OT

Amy has been working directly with children having disabilities for 15 years. Her training is in the area of pediatric occupational therapy has prepared her for interacting with children in a variety of settings including homes, childcare settings, schools and hospitals. Amy has worked on numerous research projects related to children with disabilities centered at the State University of New York at Buffalo. She continues to practice home and community based occupational therapy with young children as well as train individuals who are preparing for a career in pediatric occupational therapy. Amy specializes in the area of sensory processing disorders and is a certified interactive metronome provider. She has shared her experiences and observations with audiences across the nation on topics of play, sensory processing disorders and the development of children with disabilities. She has authored articles, book chapters, training curricula and other publications focusing on the play development of young children with disabilities.


Elizabeth Bailey-Sands Clay, PT

Artwork by Arianna

Elizabeth, an avid singer, earned her degree in Physical Therapy from the Presidential Honors Scholar Program at the State University of New York at Buffalo. In addition to her responsibilities as PT Supervisor at Beyond Boundaries, she is an adjunct faculty member teaching pediatrics in the Physical Therapy Department at Daemen College. She is also a Consultant for the Hunter's Hope Foundation and is pursuing her certification in The Symptoms Recovery Model through the Make Lemonade for Cerebral Palsy Foundation. Elizabeth, a life-long learner, is passionate about adaptive equipment and believes every person should have access to appropriate adaptive equipment without accruing massive debt. To that end, she is developing an equipment loan closet to recycle gently-used adaptive equipment. She has lectured extensively on transdisciplinary teaming and the equipment justification process and prides herself on writing strong justification letters. She has training in Neurodevelopmental Treatment (NDT), Myofascial Release (MFR), Craniosacral Therapy (CST), infant massage, pediatric orthotics and prosthetics, and torticollis management and has sub-specialized in treating the medically complicated child. Elizabeth believes in accessible playgrounds for all and inclusive service provision in the least restrictive environment. This former home-school mom has a total of six children, some of whom are grown-ups. She sings every day and is privileged to know the words to over 100 different toddler tunes!


Gretchen Swartzenberg, MA, CCC/SLP

Gretchen Swartzenberg is a Clinical Assistant Professor and Clinical Supervisor in the Department of Communication Disorders and Sciences at the State University of New York at Buffalo. Gretchen earned her Master of Arts degree from SUNY at Buffalo in Speech Language Pathology. She has worked with children with complex communication profiles in a variety of educational settings including Bornhava Preschool for developmentally disabled children and the Clarence Central School District, working in self-contained special education classrooms. She has consulted with several Western New York school districts to promote appropriate inclusion of children with special needs in regular education classrooms. As a Clinical Supervisor at UB she is responsible for training students to provide appropriate therapy and administer diagnostic testing to accurately diagnose children with complex communication profiles. Training occurs at the UB Speech Language and Hearing Clinic, local school districts and agencies. Gretchen also serves on the Graduate Admissions Committee in the Department of Communication Disorders and Sciences and teaches undergraduate and graduate courses including Speech Pathology in the Schools and has previously taught a Seminar in Augmentative Communication. In the past she has served on the executive board of the Speech Language and Hearing Association of Western New York (SHAWNY). Currently, she is a board member for Autistic Services and a member of the Western New York Center for Autism Research. She has also shared her expertise with professionals in the community providing continuing education presentations approved the American Speech Language and Hearing Association (ASHA) at local agencies, school districts and organizations.


Beyond Boundaries Staff:


Occupational Therapy

Kimberly Campese

Andrea Chmiel

Emily Clark

Ashley Dudek

Haley Gallagher

Jamie Haen

Dana Hineman

Libby Kershner

Lisa Maderer

Lori Mallory

Ashley Mann

Katie McMorrow

Melysa Markut

Kristen Saskowski

Geralyn Spiesz

Kate Stack

Hannah Whiting



Physical Therapy

Donna Marie Graham

Kelly Olesko

Amy Nolan



Special Education

Brianna O'Neill

Holly Sega


Social Work

Tia Bowman

Sammy Dieckman

Jessica Filjones

Suzanne Smith


Speech-Language Pathology

Stephanie Fronczak, Speech Manager

Courtney Banas

Nicole Brattlie

Kristen Cabana

Sarah Califano

Molly Cullinan, Clinical Fellow Coordinator

Erin Deeks

Sarah Fronczak

Sarah Gallivan

Melanie Hall, Clinical Fellow

Shannon Johnson

Lauren Kotas

Linda Lanning

Ariel Marcus

Mia Martin, Clinical Fellow

Christine Mitchell

Laura Miskell

Jade Osadchey, Clinical Fellow

Angela Paradiso, Clinical Fellow

Emily Park

Julia Santangelo

Hunter Steffenhagen

Caroline Stuart, Early Intervention Evaluation Coordinator


Service Coordination

Emily Briggs

Hannah Howard, Service Coordination Manager

Yasmin Rivera



Kelly Daly, Billing Coordinator

Donna Marie Graham, Preschool Coordinator

Jessica Kristich, Operations 

Sophia McKeone, Administrative Assistant

Marnie Thompson, Operations