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In 1918, she came back to the United States and studied social work in Boston and Philadelphia until hired by the Rockefeller Foundation in New York as head of the Department of Social Services at the Peking Union Medical College (PUMC) where she remained until 1938.
On May 14, 2013, Advocates for Informed Choice, The Southern Poverty Law Center, and pro bono counsel for the private law firms of Janet, Jenner & Suggs and Steptoe & Johnson LLP filed a lawsuit against South Carolina Department of Social Services (SCDSS), Greenville Health System, Medical University of South Carolina and individual employees for performing an irreversible and medically unnecessary surgery on an infant who was in the state’s care at the time of the surgery.
Misra worked for several years in the Child Care Department of Social Services in Buckinghamshire and, more recently, as a film classifier at the British Board of Film Classification in London, England.
The Human Resources Administration/Department of Social Services was created on August 15, 1966, by consolidating many of the city’s existing social service administrations under Mayor John Lindsay’s Executive Order No. 28.