Service Partners

Fiat Family Medicine

Fiat Family Medicine specializes in the following: 

Family Medicine

As a family medicine clinic, we provide medical care for the WHOLE family – no matter the age or stage in life, from conception until natural death.

Fertility Care

Dr. Pranger is trained in NaProTechnology and the Creighton Method to help women and couples understand their reproductive health.

Obstetric Care

Dr. Pranger provides pregnancy care, takes his own calls, and will provide care from conception through delivery and postpartum care.

Zenith Birth


Sarah Oldre and Chelsea Eggleston are the doula team at Zenith Birth Services. They provide birth and labor doula support and placenta encapsulation services.

As your birth doulas, they will provide physical, emotional, and educational support:

  • provide reassurance and perspective
  • make suggestions for labor progress
  • make recommendations for positioning
  • help with relaxation and massage
  • help to include dad/partner in the birth process
  • use other comfort techniques

As your doulas, they will work for you, not your healthcare provider or hospital/birth center. They don’t make decisions for you, but they will help you get any information you may want to make an informed decision, and they’ll support you in those choices.

Susan Reulbach Wirtjes, IBCLC

Susan graduated from Albany Medical Center School of Nursing in 1968 as an RN. She soon became certified as a LaLeche League Leader in 1972. This is where her passion for helping women have positive breastfeeding experiences took root. In 1995, she was hired to develop the Lactation Program at Covenant Medical Center. Within the next year, she took the IBLCE Exam and became an International Certified Lactation Consultant. She retired in 2010 and started Nana’s Love, offering in home Lactation Services and Postpartum Care. She continued to work as needed at Covenant until she retired fully at the end of 2016.

Susan meets with women at Guiding Star Cedar Valley as needed and continues to amaze us with her 40 years of knowledge and passion for supporting women on their breastfeeding journeys. We cannot thank you enough, Susan!! You have impacted so many lives!

Counseling Services

Rachael Jorgensen, LISW
Rachel is a licensed therapist utilizing several evidence-based therapies including EMDR and yoga. She specializes in working with survivors of trauma and has extensive experience working with eating disorders, as well as mood and anxiety disorders. Rachael provides individual and family therapy.

Katie Schmitz, LMSW
Katie Schmitz is a licensed therapist who works with children and adults providing body centered therapy and counseling. She specializes in treating symptoms of trauma as well as anxiety and cognitive disorders. Katie utilizes an integrated approach that works to encourage a greater mind-body connection and draws on both evidence-based and more traditional forms of therapy including: body-based psychotherapy, EMDR, somatic experiencing and Adlerian Play Therapy and Sand Tray Play Therapy. Katie Provides individual, family and couples therapy.

To schedule an appointment with Katie please call or text (319)535-2588 or email

Cedar Valley Mobile Chiropractic

Dr. Maria Staudt

Dr. Maria Staudt, D.C. is dedicated to providing chiropractic care to my community.  She focuses on providing convenient and affordable house-call appointments to her patients so that it is easy for them to maintain their health and enjoy life.

She uses a variety of gentle, safe, and effective techniques to treat subluxation.  These include both traditional and low-force techniques.  Dr. Staudt cares for patients of all ages and types of health concerns.  She will consult with you and choose a treatment plan that is specific to you and your needs.   

She is highly trained and experienced in the care of pregnant mothers and infants, including the Webster technique.  She loves helping Mom enjoy the best pregnancy, labor, and delivery possible and getting your new baby off to great start!

Julie Grunklee

Julie Grunklee is a Registered Nurse, National Board Certified Health & Wellness Coach and holds a Master’s Degree in Community Health Education. Julie provides individual health coaching helping her clients find the clarity, motivation and accountability they need to achieve their health & wellness goals. She has created several on-line classes and programs using journaling, guided meditation and the coach approach to empower women to take charge of their health as they grow closer to God.

Julie is a wife, mother, grandmother and child of God who is an avid Star Wars fan and loves spending time with her family as well as going for walks in the woods. She is passionate about equipping women in mid-life with the knowledge of how they were designed with purpose, for purpose as well as the strategies and encouraging support they need to live the happy, active, vibrant lives God is calling them to by praying often, eating well & moving more. If you would like to contact Julie, you can reach out at or visit her website at or her Facebook page at