Service Providers

Member Bios:


 Mary Frances Bayer, LMSW

Mary Frances has nineteen years of experience partnering with families throughout Western New York, 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, anxiety disorders, attachment, abuse and neglect, and self-regulation. Other community work includes training early childhood educators on a variety of behavioral interventions and childhood behavioral disorder; for example, the importance of early attachment, managing challenging behaviors, and understanding sensitivity in young children. Mary Frances serves as the Mental Health Consultant for the Seneca Nation of Indians Early Childhood Learning Center.  A graduate of The UB School of Management Center for Entrepreneurial Leadership, Mary Fran enjoys working side by side with service providers who share the Agency's core vales 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

Andrea Chmiel

Amanda Cleesattel

Dana Hineman

Tracie Kwoka

Michelle Lorenzetti

Lori Mallory

Molly Reimondo

Rose Spino


Physical Therapy

Donna Marie Graham


Special Education

Michele Allen

Tara Cladwell

Melissa Kwitek


Social Work

Jessica Filjones


Speech and Lanuage Pathology                       

Stephanie Fronczak, Speech Manager

Courtney Banas

Linda Balsamo

Nicole Brattlie

Jason Collins

Molly Cullinan

Jenna Davies

Sarah Dineen

Rachel Fry

Sarah Gallivan

Jillian Green

Garrett Hall

Jess Hall

Corrine Helms

Shannon Johnson

Kayla Kuehlewind

Linda Lanning

Christine Mitchell

Laura Miskell

Emily Park

Antara Satchidanand

Caroline Stuart

Kathy Wylie


Service Coordination

Kaitlyn Browne, Service Corrdination Manager

Hannah Howard

Yasmin Rivera

Sue Schlegel


Support Staff

John O'Keefe, Biller

Jessica Kristich, Operations and Administrative Corrdinator

Sumana Silverheels, EI Billing