Julie Helane Birns, 42, of Worcester, died Feb. 18 at Rose Monahan Hospice Home after a courageous battle with cancer. Born in Worcester, she was the daughter of Jill Shack of Worcester and Douglas Birns of Arlington. She graduated from Worcester Academy in 1995, and earned her Bachelor of Arts in Psychology at Boston University in 2000. In 2013, she completed a Bachelor of Science in Nursing at the Massachusetts General Hospital Institute of Health Professions, where she also earned a Master of Science in Mental Health Nursing in 2016. She practiced allopathic medicine in Massachusetts before joining the Alternative and Holistic Health Services in Tucson, Ariz. In addition to her parents, she is survived by her stepmother, Terry, of Arlington; two sisters, Amanda Roth and her husband, Mark of Dix Hills, N.Y., and Elizabeth Asher and her husband, Ryan of Chelsea; a niece, Emma Roth; two nephews, Jeremy and Adam Roth; and many aunts, uncles, cousins and friends. She was predeceased by her grandparents Audrey and Philip Shack; and a nephew, Jacob Roth. Memorial contributions may be made to Congregation Beth Israel, Rabbi’s Discretionary Fund, 15 Jamesbury Drive, Worcester, MA 01609; JHC Hospice, 629 Salisbury St., Worcester, MA 01609; or to the charity of the donor’s choice.