Reversed Strength could indicate that Elisa is currently feeling a little confused and insecure about her career. She feels lost and doesn't know where to start or which direction to go.
The reversed Ten of Wands could represent Elisa's desire to achieve something bigger and more important in her career. It could also represent a sense of frustration because she can't get where she wants.
The Four of Wands suggests that Elisa can get what she wants if she stays focused on her decisions and works hard to achieve her goals. The card also suggests that Elisa may also consider other aspects such as learning new skills or finding new jobs to enhance her career.
In conclusion, the tarot suggests that Elisa should take some time to reflect on her career and better understand what she really aspires to. She should also be committed to achieving her own goals and consider all available alternatives to improve her professional situation.