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If what you say is true and not metaphysical, then transgenderism is present the moment the transgendered person is born. There would be no threshold age '4th grade/9yo' to introduce gender since it manifested while still in the womb.This is not in line with any science.
It appears to be a fact that on rare occasions, there can be shortages or excesses of testosterone in the womb during fetal development. According to what I've read, this can lead to changes in the way the brain develops so that it takes on some of the typical characteristics of the brain of someone of the opposite sex. These individuals sometimes develop gender dysphoria later.
That's a hardware issue.
As far as I can tell, the "gender is mind, sex is body" idea is more a product of some modern schools of sociology rather than of biology.
If that is the case, unchanging biologics (like XX/XY chromosomes) demand transgenderism is birth to death.