This is an unusual, hard to find, doll / figure by Shirley Nigro-Hill of New York.  It is made of paper clay (I think it's like paper mache), all hand made and hand painted, hand made outfit.  The girl is carrying her Raggedy Ann doll.  She has the hang tag, By Nonna, and did not come in a box.  She's rather compelling I think, reminds me of Wednesday Addams.