The PRM 150 will work happily in either direction.
I had the same problem when repowering. Owing to the offset P bracket and engine mounts I simply had to have a left handed prop. All the new engine and mechanical gearbox combos offered right handed ones. The hydraulic PRM was the answer.
Why do you need a left hand prop? Only reason is if it is offset. If it is a normal centreline prop it does not matter which way it goes, just your propwalk will be different. Unless you are replacing a similar engine gearbox combination you will almost certainly need a new prop so get one to suit your new installation.