She was born in Cincinnati, Ohio but considered Rochester, NY to be her true hometown. Her parents were Minnie and Max Wald. Mr. Wald was a successful optical goods merchant so she lived a privileged life. She was the third born of four children and she was very close to her siblings: Alfred, Julia, and Gus. Alfred drowned in 1885. Her family was Jewish but she never received any formal Jewish instruction. The birth of her sister Julia's child inspired her to become a nurse because of how helpful the nurse was during this crucial time.
She attended private schools and went to an English-French Boarding School. She also went to the New York Hospital Training School to become a nurse. Later on she attended the Women's Medical College in NYC.
She was a professional nurse at the NY Juvenile Asylum, an orphanage for kids age five to 14, in 1891. In 1893, she taught a class in home nursing and hygiene to immigrant women on the lower east side. In 1899, she initiated lectures to attract potential nurses at Columbia University's Teachers College.
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