Sentiero occupies Suite 800 on Columbia Street in downtown San Diego's Columbia district, functioning as a multi-clinician outpatient psychology group founded by Emily N. Kierce, Psy.D. The practice staffs school psychologists, clinical psychologists, and registered psychological associates who conduct psychoeducational assessments for learning disabilities, autism spectrum disorders, and ADHD, generating differential diagnoses that may inform referrals to medical specialists such as Corrie Broudy, MD in Bankers Hill. Dr. Kierce holds a postdoctoral certification in Adult Psychoanalytic Psychotherapy from San Diego Psychoanalytic Center, a Nationally Certified School Psychologist designation through NASP, and a California Pupil Personnel Services credential in school psychology. Play therapy for children ages zero to five and complex trauma treatment represent primary clinical specializations, with somatic symptom resolution supported through coordination with THRIVE Physical Therapy San Diego in Bankers Hill. The practice's most intensive engagements involve full psychoeducational test batteries spanning cognitive, achievement, personality, and adaptive behavior domains to produce differential diagnoses across neurodevelopmental and mood-spectrum presentations.