We place the first constraints on the obliquity of a planetary-mass companion (PMC) outside of the Solar System. Our target is the directly imaged system 2MASS J01225093-2439505 (2M0122), which consists of a 120 Myr 0.4 M_sun star hosting a 12-27 M_J companion at 50 AU. We constrain all three of the systems angular momentum vectors: how the companion spin axis, the stellar spin axis, and the orbit normal are inclined relative to our line of sight. To accomplish this, we measure projected rotation rates (vsini) for both the star and the companion using new near-infrared high-resolution spectra with NIRSPEC at Keck Observatory. We combine these with a new stellar photometric rotation period from TESS and a published companion rotation period from HST to obtain spin axis inclinations for both objects. We also fitted multiple epochs of astrometry, including a new observation with NIRC2/Keck, to measure 2M0122bs orbital inclination. The three line-of-sight inclinations place limits on the true de-projected companion obliquity and stellar obliquity. We find that while the stellar obliquity marginally prefers alignment, the companion obliquity tentatively favors misalignment. We evaluate possible origin scenarios. While collisions, secular spin-orbit resonances, and Kozai-Lidov oscillations are unlikely, formation by gravitational instability in a gravito-turbulent disk - the scenario favored for brown dwarf companions to stars - appears promising.