About Tam Fletcher
Certified End-of-Life Doula | Compassionate, Non-Medical Support
Tamara Nalls is a certified End-of-Life Doula and Life Coach through IAP Career College, with decades of experience supporting individuals across the lifespan.
Her work centers on deep listening, emotional steadiness, and ethical, non-directive support. Tamara brings a grounded, compassionate presence to those facing life-limiting illness, end-of-life decisions, caregiving challenges, and transition.
The Listening Threshold was created to meet a growing need for human-centered care that honors dignity, meaning, and connection at life’s most vulnerable moments.
Training & Credentials
Certified End-of-Life Doula
IAP Career College
Trained in Emotional & Spiritual Support
Comprehensive end-of-life care training
Ethical, Client-Centered Practice
Non-medical scope with clear boundaries
Collaborative Approach
Works alongside hospice and care providers
Guiding Principles
"Death is not a problem to be solved, but a mystery to be honored. My role is simply to walk alongside—offering presence, not answers."
Presence
Being fully here, without distraction or agenda, holding space for whatever arises.
Dignity
Honoring each person's autonomy, values, and the unique way they approach their final chapter.
Listening
Deep, attentive listening that allows space for stories, fears, hopes, and silence.