In 1912 she emigrated from Vienna to what was then the Mutasarrifate of Jerusalem in the Ottoman Empire with her mother, Bertha, about four months after her fiancé, ophthalmologist Avraham Albert Ticho (1883–1960), who was her first cousin. The two married on November 7, 1912, in Jerusalem and they settled in their home above the Lemaan Zion Eye Hospital, the hospital which Dr. Ticho had reopened four months earlier.