I think it depends on how well you click with her, your schedule, and why she contacted you specifically. If there really aren't any doulas closer that are a good fit for her, or she wants *you for a specific reason, I would consider it. I would ask her to meet me somewhere closer for prenatal visits, and make some plans for the logistics of meeting her in labor. I have done births that are only 40 miles away, but with the local traffic, can be an hour or more drive. I wouldn't do it on a regular basis, but I would do it for the right client again.