Josie, born Joseph Romero Jr., was diagnosed with gender identity disorder and is now a transgender child.
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Josie Claudine Romero was born Joseph Manalang Romero in Colorado in April 2001. Her twin sister died shortly after being born. Though biologically male, "Joey" was diagnosed with a condition called gender identity disorder at the age of 5 by a U.S. military doctor in Japan, where the family was living.