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In 1994, she stated in a Lear's Magazine interview that she had little talent for anything but music and that she attended college as a way to further her ambitions as a performer while also satisfying parental expectations.
She has a music degree from New York University, earned after she transferred from the University of Miami's jazz conservatory at the Frost School of Music.
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Together with Soozie Tyrell and Lisa Lowell, she formed a street group known as Trickster.
For many years, she struggled to make her way in the songwriting and recording industry in New York and New Jersey before playing at Folk City and Kenny's Castaways in Greenwich Village, as well as Asbury Park's The Stone Pony. In 1986, she appeared on the Rolling Stones' Dirty Work album, leaving her vocal mark on "One Hit (To the Body)" as well as other tracks.
In 2014, Scialfa was inducted into the Rock and Roll Hall of Fame as a member of the E Street Band.
Scialfa was writing songs from an early age and first worked professionally as a back-up singer for New Jersey bar bands after she completed high school.
Scialfa had a brief role in The Stone Pony's house band Cats on a Smooth Surface. She worked with Keith Richards on his first solo album Talk is Cheap.