FILE - A person holds a transgender flag to show their support for the transgender community during the sixth annual Transgender Day of Remembrance at Maryville College, Nov. 20, 2016, in Maryville, Tenn. (Brianna Bivens/The Daily Times via AP, File)

Pauly Likens Jr. is seen in this undated photo provided by her family. (Lgbtqia+ Alliance Shenango Valley via AP)