Handmade, expandable silver wire bracelet with a stainless steel “proud mom” autism puzzle charm, “love” charm, multi colored enamel ribbon charm, silver puzzle piece charm, your choice of letter initial charm, and your choice of month birthstone charm. (Letter J and blue topaz for December shown here) Bracelet measures approx 2.6” in diameter and fits average size wrists for women. Please message the month birthstone and letter initial charm you would like when ordering. Comes in a small organza gift bag!