Needlewoman, note, getting in Sam's hair (10)
I believe the answer is:
seamstress
'needlewoman' is the definition.
(synonyms)
'note getting in sam's hair' is the wordplay.
'note' becomes 'e' (musical note).
'getting in' means one lot of letters goes inside another.
'hair' becomes 'tress' (tress is a kind of hair).
'e' placed inside 'sams' is 'seams'.
'seams'+'tress'='SEAMSTRESS'
(Other definitions for seamstress that I've seen before include "needlewoman" , "Dressmaker" , "Woman who sews for a living" , "Midinette" , "sewer" .)