The official who denied Katia's adoption application and told her to go home and focus on her own health.
After Fannar pushes past Katia into the hospital to tell the agency the truth, Katia pleads with this woman, who ultimately denies her application to adopt baby Annie. Both the present Katia and her memory ghost shout "He had no right!" while the caseworker calmly explains that there is nothing she can do, and that Katia should just go home and focus on her own health.
The decision is never reversed. Katia later tells Carl that she kept fearing they might change their minds, and that they never did.
A hospital or agency official behind a desk, delivering a refusal with practiced, unmoved calm.
The gatekeeper whose refusal ends Katia's chance at a family.