Natalie's theoretical base is Cognitive Behavioral, but she also utilizes Expressive Arts, for which she holds certification, and other methods of helping her clients. She is the founder and co-facilitator of an affirming support group, Pride Initiative, that provides support and education for the families, friends, and allies of the lesbian, gay, bisexual, transgender, and questioning (LGBTQ) community, as well as running therapeutic groups for the population. She lectures for the education for DCS workers, foster and adoptive resource parents, and social service providers in the area of LGBTQ youth.