Dulcinea/Alex Pitagora holds a Master of Arts in Psychology from the New School for Social Research, a Master of Social Work from New York University, a Master of Education and a Doctorate in Clinical Sexology from Widener University, and is an AASECT Certified Sex Therapist. Pitagora has a practice in New York City that includes individual and relationship therapy. Pitagora's practice is person-centered and strengths-based, focuses on self-determination and empowerment, and is LGBQ, trans, poly, and kink affirmative. Pitagora is an adjunct professor of sexual health at New York University; has published articles in peer-reviewed journals; and presented at conferences on the topics of alternative sexuality and gender diversity. Pitagora conducts research, lectures, and seminars pertaining to these communities; and is the founder of ManhattanAlternative.com, a national alternative lifestyle affirmative provider listing.