I'm confused at how this is supposed to be read? Does she mean "making her smoke more through her lips which were already forever cinnamon bark?"

Interesting choice of word. My son is a "compulsive" liar, but to use the word "congenital" implies something deeper, more malicious, almost intentional. It's the difference between sociopathy and psychopathy: Sociopaths have a triggering event after they're born that cause them to lose the ability to feel emotion (this leads some to falsely believe that somehow they are more capable of gaining the ability to feel emotion back), however Psychopaths are born without the ability to feel emotion. They never had it. This is the same way that a congenital liar might have been born with a compulsion to lie beyond repair.

There are a lot of these sentence fragments scattered throughout. The editor in me is screaming but the poet is seeing it in a light of beauty. Perhaps the fragments are Nandini attempting to write emotion. I've seen it done before and it's cool when it happens. The reader becomes a part of what's going on because they're reading things the way the character is experiencing it. It's hard to describe in an annotation but "One of Star Wars, One of Doom," by Lee K. Abbott does the same type of thing but with the emotion of physical danger chaos. This is more of mental chaos if that makes sense.

Why is there no punctuation here? "She imagined, for a second, paper cutouts..." It seems intentional because it's repeated in the handout and online.