As a board-certified art therapist, she has worked with children, youth, and family systems, people with developmental disabilities and chronic psychiatric illnesses, and within trauma and addiction recovery models. Her clinical work has focused on the therapeutic use of diverse materials including fabric crafts, clay and sculpture, drawing and painting, as well as photography and video, sound recording, and printmaking. Social justice, systems, feminism, and queer theory have been some grounding theoretical orientations for the therapy support and access Natalie has provided.