Susan directed the development and organizing of the Graton Day Labor Center (Centro Laboral de Graton) from 2003 - 2008, and has served on the board since 2002. She has been a family therapist in community-based practice, teaching and training therapists in family therapy and Narrative Practice. Her focus on working with people who experience hardship, suffering and trauma. In 1995 she co-founded Narrative Training Associates, a non-profit group dedicated to organizing in the professional community for social justice.She was the recipient of the Activist of the Year Award from Community Action Partnership in 2007. Susan founded Sonoma County Single Payer Health Care Now, and led the Sonoma County campaign for Yes On 186, the Single Payer Health Care Initiative that was on the California Ballot in 2004. She also co-founded Sonoma County People for Democracy in Mexico. Susan took part in human rights investigations while living in Chiapas, Mexico during 1993 and 1994 in the wake of the Zapatista uprising. She campaigned for the defeat of the anti-immigrant Proposition 187, which led to the formation of Pueblos Unidos, an immigrants rights group that formed in the wake of 187's passage. She has served on the Board of Directors of the Sonoma County Peace and Justice Center where she worked on globalization issues. She was a member of the Alternatives to Violence Project, and for over two years she led workshops in San Quentin State Prison.