I looked into this lady and you are right. This meme is incorrect. I found her on YouTube and listened to some of what she has to say, specifically about gender issues in kids, and what she essentially tells them is that God made you the way you are for a reason- that He made you WITH a purpose and FOR a purpose just the way you are. Very much the opposite of what is inferred here.

When I google this lady's name plus the title of the "facing my gender identity" header in the meme above, it takes me to that blog post but it's by a lady named Hope, not Kathy Koch, from a WordPress blog called "Hope's Passage".

I see that Kathy Koch has said she struggled at times feeling like she fit into the mold that society has placed on women- basically on how feminity should look- and I can understand her feeling that way as a younger person since she's so tall and big. But she hasn't ever suggested she felt like she was the wrong gender.

A little story- I swapped schools in junior high many years ago. When I was in the office getting my paperwork straightened out, what I thought was a man walked in. I turned and saw what looked like a big, tall man in a ladies sweater with a dress shirt with really pretty Peter Pan collar underneath it, and dress shoes with frilly socks. Except it wasn't a man, it was a lady teacher. She was the tallest and broadest woman I had ever seen! But she was a lady- she looked a lot like Kathy Koch as far as size and shape, and even sounded like her with a deep voice. But she was a sweet lady, who ended up getting married and having a family not long after I started school there. Today if people saw that teacher, I know they would assume she's a man, but she wasn't.