Mariana  Graciano CD (PALS) CPPD (NAPS) Photo

Mariana Graciano CD (PALS) CPPD (NAPS)

Nutere Doula LLC

Seattle, WA Service range 10 miles No more then 10 miles from Lower Queen Anne


Birth Fee


Postpartum Rate


Availability Remarks: **Certified Birth Doula, Certified Postpartum Doula, CLE, Trained on trauma survivals giving birth, NCS **COVID19 fully vaccinated**

Birth Fee


Postpartum Rate


Birth Doula Experience

2 years and 24 births attended

Postpartum Doula Experience

2 years and 34 families served

Birth Doula Certifications

  • DONA International - Certified Birth Doula
  • Pacific Association for Labor Support (PALS) - Certified Doula

Postpartum Doula Certifications

  • Northwest Association of Postpartum Support (NAPS) - Certified Postpartum Doula

Doula Training

  • DONA International-Approved Workshop, October 2020
  • DONA International-Approved Workshop, May 2021

Type of practice: Solo practice

Clients per month: 1 to 2 births and 1 to 3 postpartum families

Postpartum limits/restrictions: no illicit drugs

Attends hospital births? All Hospitals

Attends birth center births? All Birth Centers

Attends home births? Some Home Births

College Education


Special Services Offered

  • Birth counseling for survivors of childhood sexual abuse
  • Cancer patients and survivors
  • First Aid and CPR
  • Lactation consultant/counselor services
  • LGBTQIA+ Support
  • Military families support
  • Miscarriage support
  • Newborn care specialist
  • Parenting consulting
  • Pregnancy, birth and/or newborn photography
  • Reduced rates for women considering adoption
  • Satellite doula (for remote and rural clients)
  • Surrogates and intended parents
  • Virtual and remote doula support

Additional Credentials


Relevant volunteer or advocacy work

I moved to Seattle two and a half years ago from Brazil (my home country). With a background of 24 years as a clinical psychologist, support people through challenging moments, in a non judgmental way, was and is my true call, my big passion. I see my choice of training and becoming a Doula as a natural extension, more hands on I’d say, of a lifetime caring for people that were going through transitions/changes in their lives. Being a mom myself I recognize how important it is to have this kind of support through what we call the fourth trimester. It doesn’t matter if it’s your first child or the second or the third….each situation is unique and should be addressed as such. My goal is to respectfully embrace and care for you and your family facilitating and supporting you through the transition to parenthood.

Languages Spoken

  • English
  • Portuguese

Fee Details

daily fees 55U$ min 5 hours shifts plus an add per mileage if it's out of my way

Service Area

Seattle, WA Service range 10 miles No more then 10 miles from Lower Queen Anne

Certifications for Mariana Graciano CD (PALS) CPPD (NAPS)

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Client Testimonials for Mariana Graciano CD (PALS) CPPD (NAPS)

Post a testimonial for Mariana Graciano CD (PALS) CPPD (NAPS)

Eva Leon


Having Mari in the birthing room was so important and I can't thank her enough for how much I appreciated her. She answered all my questions and helped me make decisions and her calmness and loving care made all the difference. Even after my daughter was born she's been there for me for every question I have and has sent me a variety of resources to help me find answers. Mari is great. 

Mike & Carlyle


Mari was a dream come true! She was so gracious in sharing her wisdom, she was patient with our anxieties and she gently guided us toward a comfortable rhythm and routine with our baby! Her expertise around crucial activities (bathing, pumping and bottle feeding specifically) was invaluable. More than anything, her warmth was a beautiful addition to our new-baby experience. She truly exceeded all of our expectations. We joyously recommend her to any new parents looking for support with their newborn! 

Erica & Tommy


Mariana has been an incredible resource and support throughout pregnancy, birth, and postpartum! This was our first child, so we had tons of questions and didn't know what to expect. I also have a panic disorder, and had many fears about how birth could trigger panic attacks. From the moment we started working with Mari, she helped ease our fears and armed us with critical information to prepare for the birth experience that we desired. With her clinical psychology background, Mari was a great match to help me navigate my panic and anxiety. With Mari's guidance, we entered the labor and delivery process feeling knowledgeable, confident, and prepared. Mari has continued to provide support throughout postpartum, answering questions and providing excellent resources on myriad topics like breastfeeding, sleeping, baths, and others. We are so grateful to Mari!



Mari was excellent. She's was attentive, knowledgeable, on time, and stayed awake and with my wife for the whole labor process (26 hours). Provided far more help to my wife than I would have been able to do. Couldn't recommend her enough. Hope we can work with her again. 



Mari was our birth doula and we can't recommend her enough or express how grateful we are to have had her help throughout our labor and delivery process. She was such a calming presence and helped ease our anxieties and worries about labor while also helping us advocate for our desires throughout our hospital birth. It was a long 26 hour labor and she was there to encourage, calm, reassure, and assist us throughout the whole thing. We appreciate how she was always willing to answer our questions before, during, and after delivery but was never judgemental of our choices and was supportive of whatever we wanted our birth to look like. Would highly recommend her and can't imagine having gone through it all without her support and guidance. 

Kim & Jon


We loved working with Mariana. She was with us at all the critical moments and helped us  decipher through some tough medical decisions with a complicated delivery. We had a early long labor, having to be induced due to pre-eclampsia symptoms and throughout it Mariana talked us through the process filling in the gaps where the nurses left off. She was fun and easy to talk with and that's so helpful during those long hospital waiting hours, while also instructing me in different positions I could do while on mobility limiting meds. Ultimately we had to do a c-section and having Mari there was critical. While my partner was being handed the baby and watching over the med check, Mari held my hand while I was finishing up with the surgery and I'll always remember how comforting that was during that scary time. For my partner she was great about helping him help me when it wasn't clear what to do. We would highly reccomend her.



We connected with Mari through our birth doula, who recommended Mari as our backup birth doula. Our labor, delivery, and birth were not as we planned/expected, and Mari stepped in to support us fully. She guided us through a 40 hour labor, through a hospital transfer, and helped us feel empowered about our care options. She brought clinical knowledge, kindness, intuition, and laughter. She made us feel tended to, ensured we were as nourished and rested as we could be, and stayed up with us for our marathon birth. As queer parents, Mari was beyond competent; she was affirming, thoughtful, and celebratory of us as members of the LGBTQ+ community and of the queer and trans members of our care team. We feel very lucky that Mari was a part of our birth experience and have been working with her for postpartum support as well.



Mari was our birth doula as well as our postpartum doula. She really shined during our prenatal period, helping us to cope with our anxieties around pregnancy and birth. She was so comforting during such a vulnerable time. When our birth didn’t go as planned, Mari stayed with us until the end, making sure we felt supported. Mari’s postpartum support was essential in keeping us sane as first-time parents. Having an extra set of hands provided us much needed rest, allowing us to be the best parents we can be!



Mari has helped us in so many ways on our new parenting journey so that we could calmly plan for the labor and prepare for the baby's arrival.

She guided us on where to seek knowledge, taught us some techniques to facilitate labor, explained basically everything that could happen in labor (including alternative scenarios) and helped us to build a birth plan.

Mari was by our side during our labor giving physical/emotional support (she has miraculous massage hands, btw) and advocating on our behalf, ensuring that all our preferences were met. 

She has always shared her knowledge impartially, respecting our choices above all.

Now we have a huge sense of accomplishment: we were the owners of our labor (which was conducted in an extremely professional way, handled with great sensitivity and a touch of good humor) and when our son arrived we were psychologically prepared!

Mari, thank you for providing us this amazing experience!



We had a great experinece working with Mari!  We were so grateful to have her at our son's birth.  She was flexible with our schedule for virtual prenatal visits, and helped to calm our lingering fears and anxieties going into it.  When labor seemed to be moving slowly she helped us with Spinning Babies exercises which quickly sped things up.  She had a calming presence, offered lots of massages, and worked well with the rest of the care team.  Thanks Mari, for your role in this birth! 



Mariana was our post-partum doula after our daughter's arrival. Looking back at the 3 months she was with us, I cannot imagine what we would have done without her. From the very first day she was here, she was so wonderful and helpful. She was a contstant guide, helping with breastfeeding, holding the baby while we slept or showered and counselling us as new parents. It was such a luxury to know our baby was safe and we could get a few things done or just catch up on sleep. Mariana was always available to listen and help solve any of our concerns. I had such an incredible experience, I now tell all my expecting friends that a post-partum doula is a must-have. Even though they might be hard pressed to find one as incredible as Mariana! 



Mari is such a wonderful, kind, energetic doula. She is new to the doula profession, but already has a great deal of experience and clinical knowledge from which to draw. I also found that her experience as a clinical psychologist was helpful in stressful situations: she remained calm and focused when things became tense and uncertain. We are happy Mari was a part of our birth story. 

Mandee Parker


Having Mariana be a part of our family for our baby's first days was truly special. She was a great support to us and offered kindness, compassion, and fun for not only our little one but for the whole family. One of our daughter's first smiles was for Mariana! 



I had never considered a postpartum doula until a trusted friend recommended Mari. I'm glad I listened. By helping me take care of my newborn during the first few demanding months after his birth, Mari helped me take care of myself too. Whether I was napping, going on long walks, or running errands, I felt completely comfortable leaving my son for hours with Mari, knowing he would be safe and happy under her kind, thoughtful, engaging, and knowledgeable care. Mari also has such a warm personality and sincerely loves children that my older son always looked forward to seeing her when he came back from preschool. Thank you, Mari. Our whole family misses having you around.



If you are not sure about getting a Doula, this is the sign you were looking for to get one! If you can, get Mariana! I was on the fence about getting a doula. Working for an insurance company, I already knew that the services would not be covered and I never knew anyone personally that had a doula for birth or postpartum support. Being first time parents, I knew I wanted to at least have support for the birth. Out of the list of recommended doulas, Mariana was the only one available, it was meant to be.  I got cholestasis of pregnancy during my third trimester and Mariana was always checking up on me. She made me feel so important and whenever I had a question she always made the time to answer. She provided lots of resources as well. When I finally thought it was time, she met us at the birthing center and stayed with my husband and I even when the midwife at the birthing center said I was still not ready and sent us home.  Mariana is very patient and assertive, I felt so comfortable and safe with her. She made sure I was hydrated at all times and fed me honey sticks. After the delivery, I hemorrhaged and had to go to the ER. This is where Mariana went above and beyond. She stayed with my husband for many hours. They stayed behind at the birthing center so the baby could finish getting checked by the doctor. My husband even took a nap with the baby before going home. Mariana, went home with them, showed my husband how to care for our baby while I was at the hospital. My husband was so nervous when I told him to stay with the baby when I was taken to the hospital. When I finally got approval for my husband and baby to come stay with me at the hospital as visitors, my husband came in so confident! Mariana really helped and guided him through a lot and I am forever grateful. Mariana has followed up with me since and is still available to me for questions. She is the best! Thank you Mariana!

Trish and Cam


Mariana was our postpartum doula and she was amazing. She visited before the baby was born to help us make sure that we had everything ready in our home and packed for the hospital. She kept in touch with us before the visit and shared several videos on breastfeeding, burning, etc. 

Her visits were so helpful. She spent time with me on both days with breastfeeding and it made a huge difference! She also helped us figure out baby wearing and made us feel much more confident in what we were doing. She showed us how to give Coleman a bath and did every diaper change and burp while she was here (it was really nice to have the break). 

I highly recommend working with Mariana. She's thoughtful and wonderful with babies. She truly cares about her clients and wants them to feel comfortable and confident as parents. 

Patricia & Adrien


Mariana is an amazing doula who is very knowledgeable and passionate about her work. As new parents, she taught us a lot about our new born and we were so glad to have her during this very special time.  She is very calm and patient with babies and is a very loving person. 

Mariana is also very flexible and professional. Our baby came earlier than expected, and she was able to fit us into her very busy calendar and give us the support we needed at last minute notice. 

We would definitely recommend her and would hire her again if we have another child in the future.

Ardina Rahman


Mariana has been a kind, gregarious and supportive birth doula. She made time for a few partum zoom and in person meetings to get us ready for labor. Then when i went into a 40-hr labor, she stayed us with over 24 hours, helping us get through it. But her true gift lies in the post partum space. She's been very generous with her time on post partum visits, going above and beyond the set duration to care for our little one. She's even doing a separate visit to give kiddo his first bath. Highly recommend working with Mari for birth/post partum, she's been great!



Mariana was a true godsend for our birth. Before labor kickstarted we had a couple meetings to really get to know her. In active labor, she comforted my my wife during the most difficult parts and advocated when I wasn't able to. She stayed with us overnight at the birth center and the hospital. Even after being our birth doula, she has gone above and beyond to check in on our family. I couldn't recommend her enough as a birth/post partum doula.



We absolutely loved Mariana as our post partum doula. She was very consistent in the care of our new born baby boy & genuinely cared and was warm and friendly. She was great sharing tips about breast feeding too. We wholeheartedly recommend her.



Mariana is an absolute pleasure to have as our postpartum doula!  She is caring and very knowledgeable about newborn development, and a great cook to boot. She has made us feel at ease and we cannot thank her enough for the help she has provided to us and our son.



Mariana has been a fantastic doula for us and our newborn son.  She is patient, kind, respectful and super reliable.  She genuinely cared not only about our child, but also about our well-being as new parents who are still figuring out this whole parenting thing.  She was always keen on making sure that we got a break from our boy whenever she came around, which absolutely helped reduce our stress levels and gave us a chance to decompress a bit on those "eventful" days.  Mariana is very knowledgeable about the best tips and tricks for keeping your baby calm and satisfied, and also shared amazing advice with us about the best methods for feeding our baby.  She constantly followed up with us via text to see how we were all doing, and always had something to say that would brighten our day.  Her cooking skills are amazing also, and we loved to feast on her tasty soups, salads and omelettes that she made for my husband and I.  We would whole-heartedly recommend her postpartum doula services to absolutely anyone.  She's the best of the best.

Sophie Hasan


It's hard to put into words how vital Mariana has been to me during my postpartum period.  She has become like family to me, and I look forward to the days that I get to see her. She has helped me with things I expected like laundry, dishes, preparing meals, holding & caring for my baby while I nap.  But she also has provided me with so much more than those things: listening to me judgement-free during my various hormonal emotional breakdowns, helping me declutter my home & organize, provided lactation assistance and reassurance, helping to guide me into getting rest & relaxation, and provided multiple instances of feedback about various newborn behaviors that were making me anxious. She did all of this for me seamlessly, and I trusted her right away.

my experience with Mari has convinced me that every new mom should have a postpartum doula. Mari, specifically, is extremely caring, loving and reliable- what more can you want for yourself and your new baby? Having her in my life has without a doubt made me a better mother to both my sons during this vulnerable postpartum time. I truly don't know what I would have done without her.

Anindita Kar


Mariana is a great human being she is very caring, sincere and hardworking person. She loves her work and has great listening skills. I love the way she cares for my daughter.

Jen Boctor


Mariana has been our post pardum doula for about 2 weeks now. I honestly don't know what I would do without her help. She has been an amazing pp doula and has helped us ease into parenthood. We have a 4 week old and Mariana has so much knowledge with newborns and babies that our transition has been smooth with her help. She also is an amazing cook and helps food prep for us since we have no time to prep for ourselves. I would highly recommend Mariana for pp doula services. We trust her with our newborn and our home! 


Marija Prokopijevic


Mariana has been very helpful around the house. She helps me with laundry, does the dishes, cooks the most delicious food for my family and plays with the baby so that I can get a short break every now and then :) 

Birth Availability for Mariana Graciano CD (PALS) CPPD (NAPS)

= Available. Calendar last updated: 05-30-2023

Postpartum Availability for Mariana Graciano CD (PALS) CPPD (NAPS)

= Available. Calendar last updated: 05-30-2023