Otto started her career at the Greek side Dafni Agiou Dimitriou in 2020. She played the 2021-22 season at the German Side TSV Towers Speyer-Schifferstadt in the second German Bundesliga, where she averaged 25.5 points and 12.5 rebounds per game. She played for the Australian side Rockhampton Cyclones in 2022 where she averaged 18.9 points, 7.5 rebounds and 1.9 assists per game. Otto played for the Musel PikesWomen's basketball team from August 2022 to February 2023. Her contract was terminated by the club due to her decision to leave and play at the 2023 Fiba Zone Five Women Afrobasket qualifiers for the Ugandan National Women's Basketball team without the club granting her the right to participate. She later joined the Eastern Mavericks Women's team in Australia. She joined the spanish side Embutidos Pajariel Bembibre PDM in June 2023
Otto naturalized to play for Uganda. She Joined Uganda women's national basketball team in the 2023 Fiba Zone Five Women Afrobasket qualifiers where she averaged 17.4 points, 10.2 rebounds and 3 assists. She participated in the 2023 Women's Afrobasket where she finished as the tournament's highest scorer with 128 points. She averaged 21.3 points, 7.5 rebounds and 2.5 assists. She was also named 5 player All star team of the tournament.