About Us

Maude Le Roux, OTR/L, SIPT, DIR Champion and Expert Training Leader, is a global trainer in multiple methodologies and a mentor to therapists from multidisciplinary teams. She opened her practice, A Total Approach in Glen Mills, PA, USA in 2001, and the satellite office in Allentown, PA in 2023. Maude started her training career in 2007 and opened her online academy in 2019. She has designed the Developmental Pathways Model (DPM), which she applies to her own unique assessment and intervention protocol for major diagnosis such as Dyspraxia, ADHD and Executive Functions, Autism, Reading and Writing Disorders, and Trauma and Attachment. Maude served 9 years on the Board of Directors for ATTACh and currently serves on their Advisory Board. She also serves on the Advisory Board for LSWorks (Neuralign program). She is a co-author of two books and more recently wrote a chapter on Trauma and the Body in “Healing Connections” which launched in September 2024. Maude received an award for “Continued child advocacy” through the ATTACh organization in September 2024. She also received the Champion Award through ICDL in November 2024. Maude has a “whole child” approach to care and intervention and equipping the child, while empowering the parent is at the core of who she is as a clinician and trainer.

Charl Le Roux is the Accounting Director and co-owner of A Total Approach. He plays a key role in guiding financial decisions, ensuring the team stays on track with budgets and resources. Known for his quick wit, Charl often brings humor into his work, especially when the clinical team dreams up a “fantastic” idea that needs to align with the numbers. He oversees taxes, payroll, and employee benefits, and serves as a technical support advisor for the various programs that power ATA. Outside of work, Charl enjoys the company of his dog Simba, while his office is often filled with laughter and his trademark “tongue-in-cheek” comments. In his free time, Charl loves camping, overlanding, and traveling, with Africa and the Caribbean being his favorite destinations.

He would also be the person to contact with regards to downloading recordings, PowerPoints as well as questions related to PayPal or other payment information.

Leah Snyder, MOT, OTR/L, ASDCS, IMC, Level 2 Tomatis Practitioner

Leah received her B.S. in Kinesiology, with a minor in Psychology, from Penn State University (We Are!) and continued her education at Wesley College, where she earned her Master’s degree in Occupational Therapy.

Leah’s journey as an occupational therapist began at A Total Approach, where she first joined the team as a clinical assistant prior to graduate school. After earning her MOT degree, Leah gained valuable experience in a pediatric outpatient clinic setting, telehealth school-based services, and early intervention before finding herself back where it all started—ATA!

Leah is a Level 2 Tomatis Practitioner, as well as a certified Interactive Metronome provider and Autism Spectrum Disorder Clinical Specialist. She has additional training in reflex integration, sensory processing, trauma-informed care, and feeding therapy. Above all, Leah values building strong, trusting therapeutic relationships with her clients, believing that a foundation of connection and safety is essential for meaningful growth. Leah is especially looking forward to continuing her education in DIRFloortime®, as well as learning and growing alongside the passionate, dedicated, and highly skilled ATA team she feels lucky to work with.

Outside of ATA, Leah enjoys watching horror and sci-fi/fantasy movies, cheering on her beloved Philadelphia and Penn State sports teams, reading, and spending as much time as possible at the beach.

Sophie Chang

Sophie Chang M.S., CCC-SLP/L, received her B.S in Communication Sciences and Disorders (CSD) and a minor in Spanish from Penn State University, and continued her education to receive her M.S. in Speech Language Pathology and completion of the Bilingual Emphasis Program (BECS) from West Chester University. Sophie loves ATA’s emphasis on regulation before expectation and integration of sound therapy. Sophie is currently certified in Interactive Metronome (IM) and is looking forward to continuing her education in DIRFloortime® to improve the integration of regulation and play in speech therapy. Sophie is passionate about and an advocate for Augmentative and Alternative Communication (AAC), whether used to replace or supplement speech. The importance of every child finding their voice and feeling comfortable in using it to make their own mark on the world is a core value for her.

When not working, you can find Sophie reading a good thriller book, taking long walks with her puppy, spending time with her family, playing word games, watching her comfort shows or sitting on the beach/poolside.

Angela Gaudiuso Johnson, OTR/L, IMC, CEIM, CTC, DIR-FTP, and Clinical Director at ATA is an experienced Pediatric Occupational Therapist, practicing since 1989, and has worked in medical, educational, and private practice settings in staff and supervisory positions.  She has been working at A Total Approach since 2002 and enjoys being part of a group of experienced therapists dedicated to helping children grow to their fullest potential. Although a diagnosis may be important to obtain educational and medical services, she believes a diagnosis does not define the child’s potential or future. She also believes in assessing a child’s individual profile and empowering parents in assisting their child’s growth. She is certified in Interactive Metronome®, Therapeutic Listening, Infant Massage, Tomatis®, and Sensory Integration. Angela is an experienced clinician who specializes in Sensory Processing, Dyspraxia, DIRFloortime® approach, Infant Massage, Reflex Integration, Tactile Integration, and sound therapies amongst others. Angela shares our company philosophy that each child and family are unique and deserving of the best quality therapy services.

Andrea Keady Tjaden M.S., OTR/L, IMC, Advanced DIRFloortime® Practitioner, Level 2 Tomatis Practitioner received her BS. in Health and Occupation and M.S. in Occupational Therapy from Elizabethtown College with minors in Cognitive Neuroscience and Studio Art.

Andrea completed her final student clinical experience at A Total Approach in 2016 and has been here ever since! She loves ATA’s emphasis on a developmental evaluation process and treatment approach towards each individual client.

Outside of work, Andrea enjoys spending time at the beach, hiking, painting, snuggling with her dog Kona, experimenting with new recipes in the kitchen, and traveling with her husband! An active lifestyle and the wonder of exploring are important to Andrea. She loves incorporating these values into her therapy approach by using play to make therapeutic work fun and motivating for her clients.

To best support her clients, Andrea has continued to further her knowledge base by training in the Tomatis Method listening program, Interactive Metronome, Attachment and Trauma, Sensory Integration, and the DIRFloortime® Approach.

Anne McMenamin, Front Office Manager, came to ATA full of home-based knowledge from raising five children of her own with her husband. Anne also had experience working with special needs children in a school-based environment. She has been with us now for over twenty years. At first Anne was a fast learner as a clinical assistant with wonderful compassion and dedication to the needs of children. In her current role as Front Office Manager, she enjoys connecting with families both near and far and has become a pivotal liaison for us in scheduling intensives and welcoming families to ATA.

Casey DiDomenico, MS, OTR/L, IMC, EFC, DIR-FTP,, has been with ATA since early 2019. She first joined the team as a Certified Occupational Therapy Assistant (COTA/L) but continued her education and now serves as an Occupational Therapist (OTR/L). Along the way, she completed continuing education to receive certifications in DIR-Floortime, executive functioning assessment and intervention, and Interactive Metronome. Casey is always looking for opportunities to increase her knowledge to provide the best service possible. Additional continuing education areas include neurodiversity-affirming care, trauma-informed care, dyspraxia, sensory processing, attachment disorders, among others. Casey has experience across the lifespan and is passionate about helping people live their fullest life, in whatever way is most meaningful for them – whether child or adult. On the weekends, you can find her traveling, snuggling with her dog, trying a new craft, or rolling for initiative.

Adrianne Pepitone, M.A., CCC-SLP is a Pennsylvania licensed and American Speech-Language and Hearing Association certified speech-language pathologist (SLP). She attended Queens College of the City University of New York both for her B.A in Speech Pathology and Audiology and for her M.A. in Speech Pathology.

Adrianne has over 30 years experience in her field with both children and adults. Adrianne’s experiences include: oral motor problems, apraxia of speech , feeding/dysphagia issues, child language development, autism, augmentative and alternative communication devices, and adult speech/language problems involving traumatic brain injury, stroke, Parkinson’s Disease, and other various degenerative neurological conditions. She is currently enrolled in the PROMPT training program for certification.

Adrianne is happy to be part of the ATA team. She is excited to help clients reach their highest communication potential through the collaborative efforts of parents and other ATA team members.

Janine Gargano, P.L.A.Y. Project Certificate, Proficient DIR®/Floortime™ practitioner, has devoted her 18 + years with our center supporting a multitude of children and their families.  Janine displays unwavering passion to her field specializing in DIR® and symbolic processing. She has gained a wealth of experience over the years extensively working across the age spectrum with multiple diagnostic categories, including autism spectrum disorder and others. Prior to finding her way to the most rewarding career at A Total Approach, Janine began her journey after graduating with a B.S from Drexel University which led her to the world of special education working as an ABA therapist as a one-on-one instructional assistant and tutor. She was employed for several years to provide DIR® based school and home services for many children/families of the South Jersey school district. During part of that period, she fortunately encountered supervision through Maude Le Roux, who soon after brought Janine in to join her center as a P.L.A.Y. Project provider (Dr. Rick Soloman’s program). She continued to obtain invaluable mentorship from Maude who also guided her with an array of significant trainings to further enrich her acquired skills including P.L.A.Y. Project Certification with Dr. Richard Solomon, Dottie Higgens Klein, LMFT, RPT-S, AAMFT-S and ICDL DIR®/Floortime™ training programs. Janine notes, “I find such absolute joy observing the beautiful bond between parent and child during each Floortime™ session! The DIR® approach truly respects each of their individual strengths. When you validate a child’s idea, witnessing that magical spark in their eyes, there is just no greater gift in that moment!” Janine has a supportive husband of their two wonderful young adult children with special needs. Their son has autism, motor and speech apraxia but also has such an inquisitive, sharp mind and loves to travel with his family! Their daughter attends college and continues to bravely overcome social, emotional challenges, but also possesses multiple talents in the arts! They both have made such great strides with the support of their past therapy programs.  “I can personally relate with so many parents that continually walk through the doors of ATA. We share in the experiences of how much dedication it entails, the emotional rollercoaster we go on and how intensely at times, it impacts our everyday lives.   It is my continued mission to strive to be a support for their children to reach their highest potential!” 

Nicole is passionate about training and mentorship for parents, OT students, organizations, and school teams. She believes understanding and accepting an individual’s needs is as important as supporting an individual’s strengths. Nicole’s continuing education includes Sensory Integration and Praxis Test certified, Interactive Metronome certified, Tomatis consultant, Therapeutic Listening Practitioner, Masgutova Neuromotor Reflex Integration Specialist in Training, as well as certifications in Cogmed Working Memory Training and Certified Brain Injury Specialist. She regularly promotes and uses the Zones of Regulation program in her practice.

Lauren Roberts, MS, CCC-SLP/L is a licensed and ASHA (American Speech-Language and Hearing Association) certified Speech-Language Pathologist. Lauren earned her Bachelor of Science degree in Speech Pathology and Audiology, as well as her Bachelor of Arts degree in Spanish from Bloomsburg University in 2009. She continued her graduate education at Bloomsburg University and earned her Master of Science degree in Speech-Language Pathology in 2011.

Since graduating, Lauren has enjoyed working in the outpatient pediatric setting. She has experience treating children with a variety of diagnoses, including Childhood Apraxia of Speech, Autism Spectrum Disorder, articulation and phonological impairments, Specific Language Impairment, reading and writing disorders, as well as those who use Augmentative and Alternative Communication (AAC) devices. Lauren has also worked in the Early Intervention setting where she furthered her knowledge and skill set for facilitating early language development. 

Lauren, who is an Advanced DIR-Floortime Practitioner, is passionate about relationship-based therapy, “searching for the why,” and treating the whole child by meeting his/her sensory needs within her play-based sessions. Lauren enjoys collaborating with parents and assisting them in implementing strategies to overcome challenges and obstacles, as well as to help their children become functional communicators.

Lauren is a proud Mom of two girls and one boy. She is very appreciative of A Total Approach and the progress her own son has made through their therapies and guidance. Throughout her son’s journey at A Total Approach, Lauren was inspired by seeing many small changes turn into a very big difference in her little boy. She loves the collaborative approach at A Total Approach and working as part of the team to help children meet their fullest potential!

Kaylin Magosin MS, OTR/L received her Master of Science in Occupational Therapy from Salus University, graduating summa cum laude. She graduated magna cum laude from the University of Pittsburgh with a bachelor’s degree in neuroscience and minors in math and chemistry. Kaylin has always been fascinated with the human brain, and is passionate about understanding the brain and body connection that allows us to do everything we want and need to do in life, which led her to become an OT. It is this passion plus her experience and interest in research that drive her to “chase the why” in getting to the root of a client’s difficulties. She loves getting to know each client and being creative to come up with new ways to engage and motivate them.

Outside of working at A Total Approach, Kaylin enjoys being involved in her church, attending concerts, and following the Philadelphia Phillies and college basketball (Villanova and Pitt). She loves cooking and baking, going to the beach, and spending time with family and friends.

Jennifer Schakel, Accounts Manager, is always happy to help families with invoice questions and assist in every way she can.  Jennifer lives in Glen Mills, PA with her two daughters and pets.  She has a BA in Business from University of Michigan and enjoys reading, crafts, time with family and friends and the beach.  

Elise Galbo, COTA/L, IMC, Proficient DIRFloortime® Provider is an occupational therapy assistant. She received her bachelor’s degree from Trinity College in American Studies and Photography. She initially found occupational therapy after taking an interest in assistive technology, but soon fell in love with the all-encompassing approach. She attended Harcum College to get her A.S. in occupational therapy. During her fieldwork, she worked with a variety of diagnoses, including autism, ADHD, cerebral palsy, and Rett Syndrome.

Elise joined the A Total Approach team in 2022 and loves their client-centered and neurodiversity affirming approach. She brings a calm and trusting demeanor to her sessions but embraces silliness too! She loves using creative and outside-the-box thinking to create individualized and fun activities to target her clients’ OT goals.

Elise has additional training that includes but not limited to sensory processing, reflex integration, emotional processing, and dyspraxia.  She has obtained certifications in Interactive Metronome and DIRFloortime®.

Outside of work, Elise loves traveling, hiking, knitting, and spending time with her family and two cats.