Ghilardi led the Thoroughbreds to Liberty League tournament in her first season. In 2015, she guided the team to a program record 13 wins, tying a program high with seven regular season Liberty League wins, en route to its first Liberty League championship game appearance. It was the first of three consecutive appearances for Skidmore in the title game. Ghilardi has a 63-57 career record over seven seasons at Skidmore and has gone 35-19 over the last three years.

At Skidmore she has coached 25 All-Liberty League honorees, seven all-region selections and 41 Liberty League All-Academic Team honorees. In 2016, Ghilardi coached junior defender Rachel Talanian, who became the third IWLCA All-American in school history, and first in 13 seasons. Talanian repeated that feat in 2017, becoming the program's first two-time honoree.

At Robert Morris, Ghilardi specialized in training goalkeepers and the attack. That 2010 season saw the Colonials place five players on the Northeast Conference All-Conference team, the most in the program’s history.

Prior to Robert Morris, Ghilardi was the assistant women's lacrosse coach at Connecticut College where she was responsible for on and off-campus recruiting, practice preparation and specialized in on-field coaching for the attack and goalkeepers.

While at Connecticut College she coached two All-NESCAC players, six Regional All-Americans, four NESCAC All-Academics, an IWLCA D III Academic Honor Roll Team and a NESCAC All-Academic Team. She was a member of the Regional All-American Committee in 2009 and the IWLCA Rules Committee in 2008.

In addition, Ghilardi was the Co-Director of the Connecticut College Lacrosse Camp, as well as the fall and winter lacrosse clinics from 2006-2009. She worked as a coach for the Nor'Easter Lacrosse Club, the Elite Lacrosse Program at Greenwich Academy and coached at several camps across the country, including the Amonte Sports Lacrosse Camp, the Princeton Lacrosse Camp and the Elite 180 Camp.

Ghilardi competed in lacrosse at Colby College and graduated in 2006 with a B.A. in human development and education. While at Colby she was named team MVP and first team Regional All-American in 2006. During that year she finished third on her team with 56 points, including 36 goals and 20 assists. She graduated with an M.A. in psychology from Connecticut College in 2009.