Sterling Silver - RT Caduceus Respiratory Therapist Necklace - Initial Charm, Pearl or Birthstone - Breathe OT Heart charm necklace or 4mm round) or pearls

or 4mm round) or pearls (pearl and 5mm round birthstone is shown in 1st picture)

If the pick is going to be used for playing

Color/month of each birthstone

I also need VERY detailed instructions

Sterling Silver - RT Caduceus Respiratory Therapist Necklace - Initial Charm, Pearl or Birthstone - Breathe OT Heart charm necklace or 4mm round) or pearlsA beautiful RT Respiratory Therapist charm necklace displayed perfectly on a gift card that reads "She believed she could so she did" (other card options available). Included is a pearl charm (or birthstone), an 11mm initial disc, and the RT charm. The standard chain is a sturdy 18" flat cable chain. 16" and 20" are also available. Please include the following information: 1.) Initial for disc (view the font chart by scrolling through the pictures)2.)