Julia is a Senior Genetic Counselor and Clinical Research Coordinator. She practices as a clinical genetic counselor in the Columbia Cardiogenetics Program where she sees patients for a variety of cardiac indications including cardiomyopathy, arrhythmia conditions, sudden death, arthropathies, and congenital heart disease. She is the research coordinator for DREAMS (Diaphragmatic Hernia Research & Exploration; Advancing Molecular Science, http://www.cdhgenetics.com). She is co-chair of the NIH clinical sequencing exploratory research (CSER) genetic counseling working group in which she participates in research examining the ethical, legal, and social implications of diagnostic and predictive genomic testing.