Take a look at our members' shops for ideas! People are offering distance reiki sessions and other healing methods. You could sell your meditation and yoga tools, as well as your books on Etsy. You could produce a tape/CD of one of your meditation sessions to sell on Etsy. Don't think how Etsy could fit your local clients, but rather how you can fit your gifts onto Etsy to reach non-local clients. You have nice things already in your shop! Go for it and good luck! :D