It's hard to see all the techniques that Deece used. I think I see some outline embroidery, some thread painting, some applique, maybe some painting or fabric printing on the centers? Would really like to know more about this piece.
Thanks everyone for the nice comments.
I used raw-edge fusible applique on 3 of the flowers, thread painting on the bottom left one, the top left is outlined in thread and then filled in with paint and the top right is just an outline with thread. At first I was going to applique all of them, but then I decided I wanted more texture and variation so I added the other techniques.
It wasn't exactly what I had planned, but I like the variety. My favorite is the thread painted flower.

ETA: The centers of the 3 applique flowers are batiks so the dots were part of the fabric and all the stitching was done free-motion on my machine (I didn't have the patience to do any hand embroidery/stitching

).