Children with Artemis-deficient T-B-NK+ SCID (SCIDA) have very high risks of graft rejection from NK cells and toxicity from increased sensitivity to alkylating agents used for mismatched hematopoietic stem cell transplantation (HSCT). We evaluated the use of a non-alkylating agent regimen prior to HSCT in Artemis-deficient (mArt-/-) C57Bl/6 (B6) mice to open marrow niches and achieve long-term multilineage engraftment with full T and B cell immune reconstitution. We found that both partial depletion of recipient NK cells using anti-NK1.1 monoclonal antibody and donor T cells sensitized to recipient splenocytes were necessary. BALB/c sensitized T cells (STC) were photochemically -treated (PCT) with psoralen and UVA light to inhibit proliferation, reduce the risk of Graft-versus-host disease (GvHD) and target host hematopoietic stem cells (HSC). 4×105 PCT STC co-injected with 1×105 lineage-depleted c-kit+ BALB/c HSC resulted in 43.9±3.3% CD4+, 10.9±1.2% CD8+ donor T cells in blood; 29±7.8% and 21.7±4.0 donor B220+ IgM+ in spleen and bone marrow and 15.0±3.6% donor Gran-1+ cells in bone marrow at six months post transplant versus 0.02±0.0.01%, 0.13±0.10%, 0.53±0.16%, 0.49±0.09% and 0.20±0.06%, respectively, in controls that did not receive PCT STC. We found that STC target host HSC, and that PCT STC are detectable up to only 24 hours following infusion in contrast to non-photochemically treated STC which proliferate resulting in fatal GvHD. Increased mortality in the groups receiving 4-6×105 PCT-STC was associated with evidence of GvHD in particular the recipients of 6×105 cells. These results show that blocking NK cell mediated resistance and making niches in bone marrow are both essential to achieve multilineage engraftment of mismatched donor cells and T and B cell reconstitution although GvHD is not completely eliminated.