During her time with WSA, her swimmers held 51 world records, and captured 202 individual AAU Women’s National Senior Championships in both swimming and diving.

[2] In 1914, Epstein founded the National Women's Life Saving League, which offered competitive swimming, lessons, and socialization for female swimmers.

Though she had been offered to coach and manage the team that year, she boycotted the 1936 Summer Olympics in Berlin to protest Nazi policies.

[7] In 1935, Epstein chaired the swimming committee tasked with administering the trials and for selecting the teams for the second Maccabiah Games in Tel Aviv, Israel known as the Jewish Olympics.

Handley, as well as other American coaches of the period including William Bachrach of the Illinois Athletic Club, advocated a 10-beat kick for each full two strokes of his swimmer's arms.

[8][4] She died at 53 on Friday, August 26, 1938 at her home at the Hotel Ruxton on New York City's 72nd Street after suffering from illness for close to a year.