It's possible, but the 7591 really needs a bit more bias current, which will saturate the core of that little transformer.
Actually, this OPT is not small, about twice the size of the run of the mill se el84 outputs. I would guess that it is maybe 8 watt going by the size. Doing a 6v6 amp is appealing and probably more similar to the B+ of the currently installed PS.